Position Highlights:

The Performance Manager of the Financial Clearance Unit is responsible for the day-to day supervision of high revenue areas within the FCU, ensuring quality service for patients and their families. Mentors, serves as a resource, and provides support to supervisors and their team members to ensure the Financial Clearance Unit meets organizational goals.

A successful Performance Manager in the Financial Clearance Unit provides leadership and oversight to staff responsible for patient financial clearance, denials and registration. In addition to supervisory functions of hiring, evaluating, coaching, and counseling staff the Performance Manager is responsible for analysis and strategic design of processes to improve department's performance.

Ideal Candidate:

• Master’s Degree
• More than five (3) years of supervisory experience
• Clinical Trial experience
• Previous Soarian and Cerner experience
• Experience in other revenue cycle functions (Patient Access, Patient Financial Services, HIM, Denials)

Responsibilities:

Manages the financial clearance unit areas with higher impact in revenue within the financial clearance unit

• Provides training to team members
• Facilitates communication between FCU team and clinical team across the organization
• Identifies opportunities to improve authorization process

Supervise daily work within the Financial Clearance unit to ensure pre-certifications, authorizations and referrals are obtained and verification of patient data and insurance is completed. Ensures the timely performance of follow-up activities with patient and/or physician in the event of failed eligibility or medical necessity check. Preparing reports and summarizing data. Assist employees with issues and assist troubleshooting system and process problems.

• Maintains a working environment which remains in compliance with MCC as well as local, state and federal regulations at all times
• Understand and apply various MCC policies and programs, regulatory, and payor requirements in daily work with patients and payors
• Create a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encourages creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encourage and support employee decision-making within his or her scope of responsibilities
• Reviewing and auditing staff work on a daily basis
• Performing quality reviews
• Analyzes work-list workload and reassigns accordingly

Ensures team maintains a daily focus on attaining productivity and quality standards, recommending new approaches for enhancing performance. Reviewing and auditing staff work on a daily basis. Hires, coaches, counsels and provides performance evaluations of the team members

• Monitor staffing levels and assignments to ensure efficient operations and appropriate employee utilization and expense control (e.g., overtime management)
• Communicates with team through regular team meetings
• Development of job aids
• Supervise a production-oriented environment, monitoring staff achievement of productivity standards and providing oversight in prioritization of accounts to minimize financial risk to the organization

Meetings and collaboration with other Departments on business related issues such as denials, business office, customer service, collections, scheduling, and accounts receivable

• Demonstrate excellent communication skills and strong patient relations and customer service skills
• Participate (discussions, testing, etc.) in additional software/system installations or updates to software supporting financial clearance and denial processes
• Work with department management to complete disciplinary action as required

Provides substantial input into the development and implementation of processes within Financial Clearance and Patient Access Departments

• Provide timely feedback to employees and address performance/quality and training issues as appropriate
• Monitor, analyze, track trends and report performance

Provides management support to physicians, clinical team and Financial Clearance Unit in the absence of the Director

• Collaborates with clinic management to resolve authorization issues

Provides denials feedback and proposes changes or training opportunities to avoid loss of revenue

• Oversee development, implementation and continuous improvement of standardized processes and metrics

Credential and Qualifications:

• Bachelor’s degree
• Minimum five (5) years business/professional experience in the healthcare industry
• Minimum one (1) year of direct supervisory experience