MANAGER – PATIENT FINANCIAL CLEARANCE
MFS has an immediate opening for a Remote Patient Financial Clearance Manager for its local healthcare client in Palo alto, California.
This is 6 months temp to perm role for the right candidate. This opportunity comes with competitive pay and great benefits.
For instant consideration to this position, Apply Now!
PAY: $45 to $55 per hour (BASED ON EXPERIENCE)
BENEFITS: HEALTH/VISION/DENTAL INSURANCE – PAID TIME OFF – 401K (UPON QUALIFYING)
JOB DETAILS:
JOB DESCRIPTION
The Manager-Patient Financial Clearance is responsible for planning, organizing, leading, and directing the overall patient financial clearance functions, which includes pre-registration, payer authorization (outpatient and hospital) and financial counseling functions where applicable, for optimal performance of the front-end patient financial clearance process/revenue cycle. In addition, the Manager oversees and is accountable for frontend data quality for the pre- registration, payer authorization (outpatient and hospital) and financial counseling activities for Patient Access Services scope of service. Ensures an ongoing procedure for accurate and timely gathering of patient information, securing patient’s insurance coverage limits and benefits and communicating to patients for meeting the financial expectations of the hospital as applicable. Ensures that these functions are performed efficiently throughout the enterprise, which includes maintaining an adequately trained staff to handle all patients in both inpatient and outpatient clinic settings.
The manager must have a clear understanding of multiple managed care contracts, multiple specialty insurance and billing practices, and exercise professional competency in reviewing patient accounts to maximize reimbursement and minimize financial risk to the Health Care. Successful oversight will result in increased net revenues by reducing bad debt from potential write-offs due to lack of patient collections and denials. Interactions will primarily be conducted with both patients and payors and results of efforts will drive actions to secure payment for scheduled and unscheduled patients. Serves as a resource to faculty, managers, and clinic staff in all financial clearance related issues.
Advanced Beneficiary Notice (ABN) securing payer authorizations, collecting payments for upcoming services/residual balances to financially secure all applicable accounts.
Utilizes feedback and needs assessment tools to understand internal customer expectations. Strives to provide services that exceed expectations and works to eliminate barriers to good service. Maintains relations with all internal applicable parties, third party payers, and other agencies, as appropriate.
Implements corrective actions and conducts performance evaluations. Provides leadership, direction, and guidance. Represents the department on various committees; conducts regular unit staff meetings.
Assures compliance with the medical staff bylaws, rules and regulations, and hospital and departmental policies and procedures.
EDUCATION QUALIFICATIONS
EXPERIENCE QUALIFICATIONS
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES
Note: MFS is an equal employment opportunity employer
Job Type: Full-time
Pay: $45.00 – $55.00 per hour
Benefits:
Schedule:
Application Question(s):
Education:
Experience:
Work Location: Remote
Job Description Founded in 1985, Advanced Technology Services, Inc. (ATS) is a leading solutions provider in reliability-centered industrial maintenance, MRO...
Apply For This JobThe position of Finance Manager, SG&A is a critical role in Pernod Ricard North America and Pernod Ricard USA organizations....
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> This is a fully remote opportunity, but candidates must sit in one of the following...
Apply For This JobWE NEED YOU! Are you ready to make a impact in someone’s life? Are you compassionate, dedicated and driven? In...
Apply For This JobDescription Lloyds Bank Corporate Markets plc seeks a Senior Manager, Financial Sponsors Coverage in New York, NY to perform structuring,...
Apply For This JobJob Description Regional Finance is hiring with a $1,000 joining bonus! We are looking for talented and driven individuals to...
Apply For This Job