Manager Enterprise Self-Pay Financial Clearance Quality

Advocate Health
United States, Wisconsin, Milwaukee
Nov 11, 2024
Major Responsibilities: Responsible for the development and implementation of policies and procedures that guide and support service, assess and improve work group effectiveness, and ensure competency in Financial Clearance processes. Implements and coordinates preadmission financial services, including the verification of patient insurance and benefit levels, estimates of patient responsibility, and the collection of patient preadmission payments throughout the system. Oversees the implementation and evaluation of financial assistant programs (Aurora's Helping Hand). Ensures that all self pay patients are assessed and either assisted with enrollment in an appropriate funding program or are provided financial assistance. Develops, implements, and administers Key Performance Indicators (KPIs) and reinforces standards. Conducts ongoing analysis and measures key performance indicators to drive results to target. Reviews and communicates to staff members department and individual productivity and quality measurements on a monthly basis. Assesses employee training needs and coordinates with the training department to ensure appropriate development. Serves as a liaison between the Pre-Service Department, Patient Access, Clinics, and Central Business Office on matters related to Financial Clearance. Resolves Financial Counseling issues escalated by patients and/or staff. Evaluates and monitors customer service concerns with the financial clearance processes or pre-admission processes, implementing change when appropriate. Licensure, Registration, and/or Certification Required: None Required. Education Required: Bachelor's Degree (or equivalent knowledge) in Business or related field. Experience Required: Typically requires 5 years of experience in financial clearance in a revenue cycle or patient access setting. Includes 1 year of supervisory experience in the management of staff, budgets, and financial clearance functions. Knowledge, Skills & Abilities Required: Ability to proactively prioritize needs and effectively manage resources. Communicates clearly and concisely. Ability to guide individuals and groups toward desired outcomes, setting high performance standards and delivering quality services. Demonstrated experience in establishing and maintaining long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. Experience in the development, deployment and direction of complex programs and processes. Ability to articulate knowledge and understanding of organizational policies, procedures and systems. Proficiency in Microsoft Office applications and others as required. Ability to apply tools and processes to successfully manage to budget. Physical Requirements and Working Conditions: Exposed to a normal office environment. Operates all equipment necessary to perform the job. Must be able to drive to various sites so therefore will be exposed to weather and road conditions. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.