MGR-PATIENT FIN CLEARANCE (Insurance Verification) (Remote)

About the position

The Manager-Patient Financial Clearance is responsible for overseeing the patient financial clearance functions, including pre-registration, payer authorization, and financial counseling. This role ensures optimal performance of the front-end patient financial clearance process and revenue cycle, maintaining data quality and compliance with regulations. The manager leads a team to secure patient information, insurance coverage, and payment collections, ultimately aiming to reduce bad debt and enhance net revenues for Stanford Health Care.

Responsibilities
• Plan, organize, lead, and direct patient financial clearance functions.
,
• Ensure efficient performance of financial clearance tasks including pre-registration and payer authorization.
,
• Maintain data quality for pre-registration and financial counseling activities.
,
• Gather patient information accurately and timely, securing insurance coverage limits and benefits.
,
• Provide financial clearance services to patients and families from initial contact through charging.
,
• Develop and implement staff training and competency requirements.
,
• Monitor and improve performance in quality, accuracy, productivity, and timeliness of financial clearance processes.
,
• Collaborate with other departments to standardize and optimize patient financial clearance processes.
,
• Ensure compliance with regulatory and accrediting agency requirements.
,
• Identify revenue cycle issues and lead root cause analysis for problem resolution.

Requirements
• Bachelor's degree in accounting, finance, business administration, health care administration, or a related field.
,
• Five years of experience in revenue cycle management in a healthcare setting.
,
• Knowledge of HIPAA regulations and hospital policies.
,
• Proficiency in Microsoft Excel, Word, and Project.
,
• Strong communication and interpersonal skills.
,
• Ability to analyze data and identify trends in revenue write-offs.

Nice-to-haves
• Experience with Epic registration and billing systems.
,
• Knowledge of ICD-9 and CPT coding.
,
• Project management experience.

Benefits
• Competitive salary range of $54.22 - $71.84 per hour.
,
• Full-time remote work opportunity.
,
• Comprehensive health insurance options.
,
• Retirement savings plan with company matching contributions.

Apply Job!