Financial Verification Manager

Essential Functions

• Supervises a Financial Verification Supervisor and a team of Financial Verification Specialists to ensure all administrative and technical functions of financial verification are being handled efficiently and effectively
• Maintain competence to resolve direct consumer interactions; some interactions may include the following: determine eligibility for services, provide price estimates and/or guarantees for scheduled services, create and maintain payment plans, field inquiries about statements and Explanations of Benefits (EOB), provide financial assistance, address patient complaints
• Ensure the financial verification team is appropriately staffed with trained employees
• Serve as a liaison with the patients, providers, and payers related to financial verification issues
• Act as an advocate for the patient, provider, and CHN relative to compliance with federal, state, and third-party regulatory requirements
• Demonstrate an elevated level of integrity and innovative thinking and actively contribute to the success of the organization
• Participate in the development and implementation of CHN’s improvement and operations initiatives
• Measure and coach on departmental productivity, performance, and improvement opportunities
• Hire, direct, coach, and check the performance of all direct reports, to develop and support a high-performance team that meets organizational and department goals
• Problem-solve escalated concerns from CHN member affiliate health centers and/or patients
• Drive innovation with our front-end method and processes to lower operational costs and improve AR (Accounts Receivable), transaction times, screening rates, and approval rates with our affiliate partners
• Work with CHN leadership in development of short- and long-term business and strategic plans and organizational structure within the Patient Access center
• Execute efforts to drive financial clearance activities toward data driven operations
• Work and build trust across cultural differences
• Creates and promotes a culture of continuous improvement
• Ensures compliance with all CHN and affiliate policies, as well as all state and federal regulations
• Demonstrates a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community
• Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems
• Supplies positive and development feedback and accountability related to practices including, but not limited to, equity
The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills. Other duties may be added, and this job description can be amended at any time.

Qualifications and Experience (Required)

• Bachelor’s degree and/or higher-education level or completed coursework in business or health services administration, or equivalent experience
• 3 years of Revenue Cycle experience with a specialized focus on Financial Clearance
• Proven experience with staff recruiting and management
• Strong and broad understanding of Revenue Cycle Operations within a healthcare setting
• Mathematical/analytical aptitude, ability to translate operational concepts into measurable results, and vice versa
• Strong communications and leadership skills, while acting as a role model and coaching team members
• Strong analytical and problem-solving abilities
• Proficiency with Microsoft software (Excel, etc.)
• Demonstrated ability to maintain a customer-centric service approach
• Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN, if necessary
• Strong attention to detail and follow-up; and ability to effectively prioritize deliverables
• Demonstrated dedication to Planned Parenthood’s mission, vision, and values
• Strong interpersonal skills and the ability to build relationships
• Excellent time management and problem-solving skills
• Willingness to travel in accordance with the needs of the position, as outlined in the essential functions. Compliance with all CHN travel policies, including safety guidelines while operating a personal vehicle

Qualifications and Experience (Preferred)

• Master’s degree in business administration, healthcare management, or in a related field or equivalent experience
• 7+years of relevant experience at the management level
• Experience providing training and coaching in both virtual and in-person settings for individuals and small groups

Key Requirements

• Commitment to advancing race(+) equity in one’s work: interested in expanding knowledge about the role that racial inequity plays in our society.
• Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions.
• Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to learn.
• Strong sense of accountability to equitable practices.
• Understanding of the impact of identity dynamics on organizational culture.
• Commitment to CHN and Planned Parenthood’s In This Together service ethos, workplace values, and service standards.

Originally posted on Himalayas