System Director, Financial Clearance
Company: Edward Elmhurst Health
Location: Evanston
Posted on: April 18, 2024
Job Description:
System Director, Financial Clearance page is loaded System
Director, Financial Clearance Apply locations NSO 4901 Searle
Parkway Corporate Office Skokie time type Full time posted on
Posted 2 Days Ago job requisition id R9178 System Director,
Financial ClearancePosition Highlights:
- Position: System Director, Financial Clearance
- Location: Skokie, IL
- Full Time (40 hours per week)
- Hours: Monday-Friday, 8:30am - 5pm
- Required Travel: Travel between sites will be requiredJob
Summary:System Director of Financial Clearance -has operational
responsibility for the financial clearance functions across the
System, including Pre-Registration, patient arrival, insurance
verification, pre-certification, patient estimates, benefit
counseling and financial assistance. This role develops and
implements strategies to increase efficiency, improve processes,
ensure price transparency, and enhance the patient experience.
Reports to the Vice President of Patient Access Registration and
Financial Clearance
-What you will do:
- Functional leadership and direct oversight of pre-registration,
patient arrival, pre-certification, patient estimates, and
financial counseling processes across the North Region. Indirect
oversight for Financial Clearance functions and staff reporting
through other NorthShore teams. Provides region-wide oversight for
financially securing patient payments as appropriate prior to or at
time of service.
- Develops and implements highly efficient and effective
financial clearance management strategies and develops workflows
and processes that optimize staff efficiency while enhancing the
patient experience and ensuring price transparency
- Analyzes operation of the system; Creates, maintains, and
updates policies and procedures to reflect current operations and
to ensure compliance with all federal, state, and local
regulations. Shares and communicates complex processes and
information at a level of understanding for the appropriate
relevant recipients
- -Continually reviews and analyzes the operations of the
Financial Clearance areas, ensuring that staff are providing
efficient and quality delivery of services while productivity
targets are achieved. Manages operations based on data and metrics,
consistently meeting assigned targets
- Uses independent judgment to exercise authority on behalf of
NorthShore by keeping the organization's mission, vision, and
values at the forefront.
- Develop and enhance positive working relationships with all
levels of revenue cycle staff within the health system. Works with
other directors to ensure process coordination and quality patient
access to service is maintained
- Display a high level of initiative, effort, and commitment to
assuring highest quality output and standards, and continuous
quality improvement
- Collaborates with leadership team to ensure employee engagement
and leads initiatives to retain staff and create a positive work
environment
- Evaluates technology solutions to support financial clearance
functions and create efficiencies, including Epic enhancements.
Monitors trends in the industry for new opportunities for
efficiency and best practice. Manages operations based on data and
metrics, consistently meeting assigned target
- Meets regularly with management team to review performance,
identify areas of opportunity, and ensure consistency across sites.
Develops managers to expand their skills and knowledge
- -Collaborates with Registration and Financial Clearance
leadership who provide day-to-day onsite oversight of Financial
Counseling staff located at their assigned Hospital locations.
Ensures staff are effective, responsive, and appropriate.
- Assists Vice President in the development and management of
departmental budget. Seeks opportunities to conserve costs without
compromising patient care or revenue and reimbursement. Manages
supplies and expenses within the allocated budget guidelines.
- Provides On-call coverage outside of normal business hours, as
assigned
- Other duties as assigned when necessary to maintain efficient
operations of the financial clearance departments and of NorthShore
as a wholeWhat you will need:
- Education: Bachelor's degree in business, healthcare
administration, or related fields, or equivalent work experience.
Master's degree preferred
- Certification: Certified Application Counselor within the first
year of employment
- Experience: Minimum 7 years' experience in the management of
hospital patient access, pre-authorization and financial clearance
staff and processes, or 7 years' experience in a revenue cycle
management role
- Unique or Preferred Skills:
- Epic Experience preferred
- Demonstrated experience with knowledge of all government and
commercial payor requirements in hospital and clinic settings, to
ensure timely verification of coverage, authorization for medically
necessary care and prescribed medications.
- Strong analytical skills; able to read, understand and analyze
complex data and to generate and present interpretive
reporting.
- Solid track record of building strong, collaborative
relationships with clinical department partners, medical staff and
leadershipPhysical Demands/Environmental Conditions:
- Requires light physical effort. May require frequent periods of
standing or walking.
- May require frequent lifting or moving of lightweight
material.
- Ability to multi-task in a high stress fast paced operation
with patient, patient's family and physician waiting for response
Equipment Utilized within the Scope of the Position:
- Personal Computer, Fax machine, Credit card machineBenefits:
- Career Pathways to Promote Professional Growth and
Development
- Various Medical, Dental, Pet and Vision options, including
Domestic Partner Coverage
- Tuition Reimbursement
- Free Parking
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
- Visa Sponsorship Available (Nursing and Lab roles)Endeavor
Health is a fully integrated healthcare delivery system committed
to providing access to quality, vibrant, community-connected care,
serving an area of more than 4.2 million residents across six
northeast Illinois counties. Our more than 25,000 team members and
more than 6,000 physicians aim to deliver transformative patient
experiences and expert care close to home across more than 300
ambulatory locations and eight acute care hospitals - Edward
(Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland
Park, Northwest Community (Arlington Heights) Skokie and Swedish
(Chicago) - all recognized as Magnet hospitals for nursing
excellence. For more information, visit www.endeavorhealth.org .
When you work for Endeavor Health, you will be part of an
organization that encourages its employees to achieve career goals
and maximize their professional potential.Please explore our
website ( www.endeavorhealth.org ) to better understand how
Endeavor Health delivers on its mission to "help everyone in our
communities be their best". -Endeavor Health is committed to
working with and providing reasonable accommodation to individuals
with disabilities. Please refer to the main career page for more
information.Diversity, equity and inclusion is at the core of who
we are; being there for our patients and each other with
compassion, respect and empathy. We believe that our strength
resides in our differences and in connecting our best to provide
community-connected healthcare for all.EOE: Race/Color/Sex/Sexual
Orientation/ Gender Identity/Religion/National
Origin/Disability/Vets, VEVRRA Federal Contractor. - Returning
applicants and employees If you are a returning applicant and have
not been active in our system since Oct. 1, 2023, please create a
new account as our site has been upgraded. Current employees should
apply directly through the Jobs Hub within Workday. About us
NorthShore University HealthSystem, Edward-Elmhurst Health, Swedish
Hospital and Northwest Community Healthcare are now united under
one name: Endeavor Health. Together, we're setting a new standard
for healthcare.
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Keywords: Edward Elmhurst Health, Des Plaines , System Director, Financial Clearance, Accounting, Auditing , Evanston, Illinois
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