Manager Financial Clearance

LeadershipHybrid Remote, Danbury, Connecticut

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Description

Position at Nuvance Health

Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better.

Summary:

Manages and plans the activities of staff and supervisors within Financial Clearance for Nuvance to accomplish accurate and complete collection of pre-registration, insurance, and authorization information and facilitate timely throughput across the Revenue Cycle.

Responsibilities:

1.Manages the activities involved in the pre-registration and financial clearance process, including collection of demographic and insurance information, eligibility and benefit verification, patient estimation, authorization, and pre-service collections.

2.Motivates supervisors and employees to achieve peak productivity and performance. Provides supervision to include hiring, conducting performance reviews, counseling, disciplinary action, and overseeing staff educational development.

3.Maintains liaisons with administrative and support personnel to coordinate efforts in resolving problems concerning scheduling, verification of information, and registration. Develops strong relationships with hospital departments, physician practices, and physicians to facilitate an effective financial clearance process.

4.Assists in the preparation of reports and analyses, setting forth progress, and adverse trends and makes appropriate recommendations or conclusions.

5.Collaborates with the Director to implement management plans, and develops and recommends policies and procedures that impact specific areas of the organization.

6.Represents the Financial Clearance Department in meetings, on committees, and project teams.

7.Ensures resource management is in line with departmental needs based on expanded hours of operation and physical location of workplace.

8.Plans and conducts meetings with subordinates to ensure compliance with established practices, to implement new policies and keep employees abreast of current changes and standards.

9.Provides department-specific training or assists in the delivery of training curriculum.

10.Ensures the highest quality and timely delivery of services and customer service standards of excellence.

11.Proactively works on denial prevention, denial coordination and denial recovery, with prevention being the focus.

12.Fulfills all compliance responsibilities related to the position.

13.Performs other duties as assigned.

 

Education Skills Experience:

Required: Bachelor's Degree
National Association of Healthcare Mgmt (NAHAM) certification (within 1 year of hire).
Strong knowledge of revenue cycle workflows, best practices, and industry KPIs is essential. 
Preferred: Certified Professional Coder from the American Academy of Professional Coders (AAPC).

 

 

Org Unit: 2071

Department: Corporate Financial Clearance

Exempt: Yes

Salary Range: $41.00 - $76.16 Hourly

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