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University Hospitals Health System Manager, Financial Clearance - Highland Hills in Cleveland, Ohio

DescriptionManager, Financial ClearancePosition Summary:Plans, organizes, controls, standardizes and directs UH CBOInsurance collections employees, processes and strategy. Manages day to dayoperations of the Revenue Cycle billed AR to ensure the efficient and expectedcash collection through productive and timely claim submission, follow-up,denials management and appeal activity to ensure.and.nbsp; expected payment of insurance and/or patientclaims for all hospital services billed through the Central BusinessOffice..and.nbsp; Remains current for self andstaff with governmental and third party billing, follow-up and appealrequirements for compliant billing and follow-up of both inpatient andoutpatient claims for all wholly owned facilities. Performs departmental auditreview and resolution processes in accordance with organizational requirementsfor areas of responsibility. Worksclosely to support RCM Senior leadership to coordinate support and hand offsbetween Pre-billing/billing, Hospital Financial Counselors, Customer Service,Self-Pay Collections and Physician A/R teams to optimize patient experience andcollections..and.nbsp;.and.nbsp; Leadership roleresponsible for managing secondary billing office vendor relationships andperformance designed to optimize net revenue..and.nbsp;.and.nbsp; Works closely with Managed Care, Payers, Finance and Operations tocommunicate A/R performance and resolve A/R issues and drive processimprovement..and.nbsp;The position isresponsible for an estimated 70 to 80 FTEs, including 4 supervisors and annualhospital insurance collections of over $1.8B..and.nbsp;Establishes, enforcesand ensures standards of performance and behaviors, monitors and analyzesdepartmental service standards for Insurance Follow up Insurance collections,and responds timely with Customer Service to respond to in-bound patient callactivity to ensure our patients receive superior service..and.nbsp;The position isresponsible for adhering and creating Insurance Collection policy andguidelines in coordination with RCM Senior Leadership, as well as drivinginsurance collection strategy, analysis, monitoring payor performance, as wellas oversight of Denials, Credit Management and Post Payment Review..and.nbsp; Supports in decisions and strategy associatedwith on line and other technology solutions as well as pre collect, collectionand other vendors contracted to optimize patient collections..and.nbsp; Ongoing alignment and strategy to coordinateand follow processes implemented by CBO..and.nbsp;Understands andsupports internal and external relationships including I.T., Legal, Compliance,Internal Audit as well as vendor relationships to ensure compliant revenuetransactions for each of the 7 Core Hospitals (Case, UH Regional, Ahuja,Geauga, Geneva and Conneaut).and.nbsp;Essential Duties:.and.nbsp;Directlyoversees multiple supervisors and 70+ staff members, and isresponsible for ensuring staff work quality and output is satisfactory andissues addressed and/or resolved. Responsible for all hiring and related personnel decisions, completingroutine performance review evaluations, training, scheduling, and processdocumentation.Responsiblefor cash collections of approximately $1.8 billion.Reviews,sets and communicates department productivity standards and AR goals for theteam. Ensures Supervisors and staff members are meeting quality andproductivity standards by performing/reviewing routine audits..and.nbsp; This also includes conducting routine staffaudits for productivity and tracking results.Provides.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; month-end AR reports to leadership on active AR dollars.Maintains in-depth knowledge of systemsoftware including primary financial systems, claims systems, and cash postingsystems.Providesextensive customer support service, acts as a liaison for both internal andexternal customers providing assistance in claims

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