Remote- Senior Manager, Financial Clearance

City of Hope • Duarte, CA

5d • Remote

About The Position

Join the transformative team at City of Hope , where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today. This is a Fully Remote Opportunity within the United States The Senior Manager of Financial Clearance is responsible for the successful managing of financial clearance functions which includes pre-registration, insurance/benefits verification, payer authorization, price estimation and financial counseling functions, which focuses on delivering an extraordinary patient experience. This senior leader has oversight for managing personnel and financial resources, strategic planning, quality assurance, staff optimization, implementing strategic change, setting performance goals, measuring outcomes, and the overall productivity of the department. As a successful candidate, you will: Collaborate with other patient access leadership to optimize front end financial clearance processes, ensuring proper and timely billing and reimbursement, optimizing cash collections and reducing front end denial errors. Independently exercises discretionary powers to make difficult decisions, solve managerial and/or operational problems. Monitors staffing productivity and quality by establishing and monitoring thresholds and benchmarks Responsible for implementing quality control audits to monitor the quality of work and provide retraining as required to maintain performance standards Establish and foster excellent customer service practices supporting the daily needs of patients, caregivers, providers and staff. Oversee effective customer service systems, communication and feedback. Serve as the first line of communication and follow through for patients via direct means, telephone, email, and written correspondence. Respond and solve problems, including internal and external complaints Drive a patient-focused culture with an emphasis on accountability and customer service.

Requirements

• Bachelor's Degree with five (5) years of service in patient registration, financial clearance, or a related field with at three (3) years in a supervisory capacity OR Seven (7) years of experience in patient registration, financial clearance, or a related field with five (5) years in a supervisory capacity.
• Demonstrated experience to lead and direct project support across other teams
• Medical terminology, payor guidelines and processes
• Knowledgeable in the complexities of managed care environment, Knowledgeable of the various CMS programs, payors and requirements
• Requires Strong decision-making skills, analytical skills with ability to analyze reports and interpret data and prepare information for upper administration
• Ability to recognize and use medical terminology
• Knowledge of Medical Insurances
• Quantitative skills for statistical analysis and budget assessment.
• Effective use of telecommunications and electronic medical record systems.
• Responds positively and remains flexible to a changing work environment. Adjusts well to change in job functions, volumes and work hours.
• Has the ability and responsibility to handle audits and reviewing access problems, research potential solutions and suggest procedural changes to prevent the problem in the future when applicable.
• Takes the initiative to learn new skills
• Excellent oral/written communication, interpersonal, collaborative, analytical and organizational skills.
• Function with minimal supervision with high level of productivity.

Responsibilities

• Collaborate with other patient access leadership to optimize front end financial clearance processes, ensuring proper and timely billing and reimbursement, optimizing cash collections and reducing front end denial errors.
• Independently exercises discretionary powers to make difficult decisions, solve managerial and/or operational problems.
• Monitors staffing productivity and quality by establishing and monitoring thresholds and benchmarks
• Responsible for implementing quality control audits to monitor the quality of work and provide retraining as required to maintain performance standards
• Establish and foster excellent customer service practices supporting the daily needs of patients, caregivers, providers and staff.
• Oversee effective customer service systems, communication and feedback.
• Serve as the first line of communication and follow through for patients via direct means, telephone, email, and written correspondence.
• Respond and solve problems, including internal and external complaints
• Drive a patient-focused culture with an emphasis on accountability and customer service.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Number of Employees: 5,001-10,000 employees