Manager Financial Clearance

Days, Full-time

Location: Remote/work from home with strong preference for candidates residing within the UPH geographies of Iowa, Illinois, & Wisconsin. 

The Manager, Central Financial Clearance position is responsible for the financial clearance of patient accounts prior to or

within 48 hours of emergent or add-on services. Central Financial Clearance, specifically, includes securing payment for

services by performing activities related to insurance verification, authorizations, patient liability estimates and referrals to

financial coordination. The role is also responsible for fulfillment of service level functional obligations, issue identification

and resolution, and staff management of all Financial Clearance roles and teams. This role will review area metrics daily,

assess staff productivity and quality, and deliver timely feedback to resolve departmental issues.

The Manager of Central Financial Clearance will participate in various initiatives and work to identify areas of opportunity

for performance improvement. This role will also coordinate with the necessary departments at the system and local

levels to ensure successful outcomes and consistent processes. Finally, this position is responsible for promoting a

positive patient experience and ensuring patient satisfaction.

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.  

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:      

• Expect paid time off, parental leave, 401K matching and an employee recognition program.   

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.  

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.   

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.   

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. 

Find a fulfilling career and make a difference with UnityPoint Health.

Management and Leadership

• Manage Financial Clearance team to ensure achievement of organizational and departmental goals through organizing, implementing and monitoring processes.
• Ensures assigned function(s) in the Department are performed in accordance with federal, state and/or hospital requirements.
• Responsible for monitoring and recommend adjustments to department practices to ensure compliance with applicable certification, licensure, and accreditation requirements.
• Schedules and monitors new staff orientation and ongoing education for successful job performance.
• Conducts annual performance appraisals for assigned team members.
• Ensures departmental policies and procedures and job descriptions are current.
• Monitors FTEs, operational and capital budget for the department.
• Investigates budget variance and initiates corrective actions when necessary.
• Provides guidance to the organization on matters related to protected health information management.
• Supervises team by motivating, mentoring, coaching and providing guidance to team to deliver high quality, cost effective services. Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility, and mentoring.
• Keep apprised of leading Financial Clearance practices for implementation within UPH.
• Provides direct supervision and leadership to staff to ensure effective, efficient operations, optimizing performance and continually improving quality in a vastly changing health care environment
• Presents data, strategies, and progress towards goals in various governance management forums.

Financial Clearance

• Maintains positive and effective relationships throughout UPH as both the department leader of
• Central Financial Clearance teams and as a member of the UPH Revenue Cycle team.
• Acts as a business owner for Central Financial Clearance processes, focusing on registration and financial clearance performance for all assigned hospital locations and units.
• Responsible for overall business processes and implementing standard operating procedures.
• Actively works to lead and align team members, departments, processes and supporting technologies (e.g., Epic) to achieve optimal Financial Clearance outcomes, including opportunities for process and performance improvement.
• Initiates strategic planning and prioritization of projects and work efforts.
• Effectively manages department resources and tools to ensure that

  • o Overall process and policy documentation is completed and maintained

    o Work queues are appropriately managed and any applicable Service Level Agreements (SLA) obligations are fulfilled

    o New processes and systems are effective and efficient

    o Projects remain timely and of high quality/value

Education: 

• Bachelor’s degree in business, accounting, healthcare field; completed coursework or equivalent work experience will be considered

Experience:

• Minimum of 5 years of experience in a healthcare setting performing or supporting functions related to: scheduling, registration, insurance verification, referral management, prior authorizations, coding, billing or customer service.
• 3 years’ experience in a supervisory or management capacity
• Experience with Epic is a plus

Knowledge/Skills/Abilities:

• Comprehensive understanding of Patient Access, Pre-access and Registration operations and leading practices.
• Clear understanding of the impact patient access and pre-access activities has on revenue cycle operations and financial performance.
• Knowledge of legal restrictions and protocols related to registration and collections activities.
• Overall understanding of the healthcare revenue cycle, including insurance industry/regulatory environment, as well as professional and hospital billing rules and regulations.
• Superior interpersonal skills, including an ability to build relationships as well as manage complex and effective relationships with regional leadership and peers.
• Skilled in managing various leadership layers and function types.
• Proven ability to generate and govern strategic initiatives, drive decision making practices, and gain leadership buy-in.
• Ability to lead and motivate groups and individuals as well as think creatively and strategically to successfully mediate and negotiate with individuals and groups internally
• Exceptional organizational skills, with the demonstrated ability to drive functions in a complex, consensus-oriented environment.
• Excellent written and verbal communication
• Proficient Microsoft Office skills, including Microsoft Excel and PowerPoint