Manager Financial Advocacy

Highmark Health•Pittsburgh, PA

About The Position

The Manager Financial Advocacy provides leadership for the Financial Advocacy department, including coaching and developing staff, managing performance and efficiency, and overseeing daily operations. The role implements strategies to reduce the organization’s financial risk by helping patients access alternative payment programs. Knowledge of federal and state regulations affecting patient financial obligations is essential. The manager plans, manages, and monitors departmental operations and personnel; recommends policy and process changes; introduces initiatives; and seeks ways to streamline and automate workflows. The role also coordinates with internal and external partners and maintains staff training on departmental policies, procedures, work standards, system changes, and related programs. Employees must follow applicable ethical and legal standards, the company’s Code of Business Conduct, HIPAA requirements, and company privacy and information-security policies. The role may involve access to confidential customer information, which must be protected.

Requirements

  • Bachelor’s degree, or relevant experience and/or education as determined by the company in lieu of a bachelor’s degree.
  • Five years of experience in a healthcare revenue cycle.
  • One year in a management or supervisory role.
  • Proficiency with Microsoft Office.

Responsibilities

  • Manage hiring and termination decisions, coaching and development, rewards and recognition, performance management, and staff productivity.
  • Plan, organize, staff, direct, and control the department’s day-to-day operations; develop and implement policies and programs as needed; may have budgetary responsibility and authority.
  • Apply knowledge of federal and state regulations related to AHN policies and procedures that affect patient financial obligations, and oversee communication and training about changes.
  • Liaise verbally and in writing with partners including Finance, Central Business Office, Compliance, HIM, Coding, Clinical Departments, Information Technology, and vendors.
  • Develop and maintain Financial Advocacy training programs and materials covering policies, procedures, work standards, accounts receivable system changes, and other programs; oversee additional staff coaching.
  • Plan and monitor daily departmental functions, delegate tasks, mentor staff, conduct quality reviews, and guide staff in demonstrating best practices.
  • Recommend policy and procedure modifications and implement initiatives to streamline processes and maximize departmental effectiveness.
  • Perform other duties as assigned.
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