Financial Clearance Manager

🕒 May 28

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $65.1k - $117.2k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💸 Financial Planning and Analysis (FP&A)

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UMass Memorial Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1884

⚕️ Healthcare Insurance

💰 $4.7M Grant on 2022-12

Healthcare Insurance

UMass Memorial Health is a comprehensive health system located in Massachusetts. It serves as the clinical partner of UMass Chan Medical School and offers a wide range of healthcare services across its network of hospitals, including UMass Memorial Medical Center, Harrington Hospital, HealthAlliance-Clinton Hospital, Marlborough Hospital, and Milford Regional. The health system provides services in cancer care, diabetes, emergency and heart care, orthopedics, and more. It also offers behavioral health services and community health initiatives. UMass Memorial Health is renowned for its innovative clinical trials in oncology and has been recognized for its excellence in cancer programs. It serves as the exclusive healthcare provider for the Worcester Red Sox and offers extensive resources for patients, including financial counseling, price estimator tools, and various patient support services.

📋 Description

• Under the general direction of the Director of Financial Clearance, manages the daily operation of assigned area within Patient Access Services. • Performs a variety of complex duties and management of Financial Clearance and/or registration personnel and activities to ensure the efficient processing of patients and collection of patient liabilities. • Coordination of daily activities for Patient Access Services, including but not limited to scheduling of staff, maintenance of workqueues, and statistical reporting. • Designs, monitors and implements registration, referral and verification guidelines, as well as collection of patient liabilities to ensure an accurate and efficient process for Patient Access Services. • Ensures scheduling verification, referral and pre-arrival registration processes are integrated and accurate information flows on a timely basis. • Sustains the Avaya (call center server application) service level standards by monitoring and analyzing volume and staffing levels and making adjustments as required. • Works closely with ambulatory services senior management, physicians, clinical leaders and other departments to ensure harmonious relationship and atmosphere of teamwork. • Oversees and monitors workqueues and reports for Patient Access Services. • Monitors the registration and financial clearance process to ensure high quality customer service. • Ensures the financial clearance process is completed timely and accurately prior to patient arrival whenever possible. • Monitors workqueues and reports to ensure follow-up when financial clearance is not obtained prior to patient arrival. • Manages workqueues and reports to ensure appropriate productivity and quality standards are achieved. • Manages all applicable escalation workqueues. • Oversees collection of patient liabilities as appropriate. • Position is a working managerial position. May act as Patient Access Representative, Financial Clearance Representative, and/or Registration Representative when necessary. • Ensures compliance with EMTALA regulations (Emergency Medical Treatment and Labor Act). • Ensures that department complies with UMMHC established policies, quality assurance programs, safety, and infection control policies and procedures. • Ensures adequate equipment and supplies for department. • Assists Director in development and maintenance of departmental policies, procedures and objectives. • Finalizes, signs off and submits payroll on a weekly basis as applicable. • Ensures compliance to all health and safety regulations and requirements. • Ensures strict standards of patient confidentiality are met. • Organizes and maintains clear channels of communication with staff. • Exhibits appropriate communication with all levels of personnel.

🎯 Requirements

• Bachelor’s Degree in Business, Healthcare or related field. • Minimum of 2 years’ managerial experience in Registration, Scheduling, and/or Insurance Verification processes required. • Flexibility of schedule required. • Holiday and/or weekend shift work, as well as after-hours coverage as required. • Demonstrated leadership ability, initiative, teamwork and assertiveness required. • Excellent communication and analytical skills. • Strong organization skills. • Excellent interpersonal skills. • Demonstrated expertise in area of responsibility as well as the ability to solve complex problems. • Complete understanding of third party payor and managed care requirements, procedures and regulations. • Complete understanding of primary, secondary and tertiary insurance requirements, procedures and regulations. • Face-to-face and telephone customer service skills and experience. • Ability to effectively communicate with a variety of internal and external customers. • Ability to receive and express detailed information through oral and written communications. • Ability to work in high volume, team-oriented environment. • Ability to take directions and work independently. • Ability to use specialized applications software and computers systems for patient registration and scheduling.

🏖️ Benefits

• This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.