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MGR-PATIENT FIN CLEARANCE (Insurance Verification) (Remote)

Work from home Full-time role Hiring

About the position The Manager-Patient Financial Clearance is responsible for overseeing the patient financial clearance functions, including pre-registration, payer authorization, and financial counseling. This role ensures optimal performance of the front-end patient financial clearance process and revenue cycle, maintaining data quality and compliance with regulations. The manager leads a team to secure patient information, insurance coverage, and payment collections, ultimately aiming to reduce bad debt and enhance net revenues for Stanford Health Care. Responsibilities • Plan, organize, lead, and direct patient financial clearance functions. , • Ensure efficient performance of financial clearance tasks including pre-registration and payer authorization. , • Maintain data quality for pre-registration and financial counseling activities. , • Gather patient information accurately and timely, securing insurance coverage limits and benefits. , • Provide financial clearance services to patients and families from initial contact through charging. , • Develop and implement staff training and competency requirements. , • Monitor and improve performance in quality, accuracy, productivity, and timeliness of financial clearance processes. , • Collaborate with other departments to standardize and optimize patient financial clearance processes. , • Ensure compliance with regulatory and accrediting agency requirements. , • Identify revenue cycle issues and lead root cause analysis for problem resolution. Requirements • Bachelor's degree in accounting, finance, business administration, health care administration, or a related field. , • Five years of experience in revenue cycle management in a healthcare setting. , • Knowledge of HIPAA regulations and hospital policies. , • Proficiency in Microsoft Excel, Word, and Project. , • Strong communication and interpersonal skills. , • Ability to analyze data and identify trends in revenue write-offs. Nice-to-haves • Experience with Epic registration and billing systems. , • Knowledge of ICD-9 and CPT coding. , • Project management experience. Benefits • Competitive salary range of $54.22 - $71.84 per hour. , • Full-time remote work opportunity. , • Comprehensive health insurance options. , • Retirement savings plan with company matching contributions. Apply Job!

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