Admin Manager Inter HealthcareApply NowHow to ApplyA cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.SummaryThe Outpatient Financial Clearance and Authorization Manager is responsible for functions related to patient financial counseling (PFC), and financial clearance activities that include timely procurement of patient estimates, insurance authorizations and denial management related to scheduled outpatient services. Manage progress toward established goals, adjusting priorities and strategies as needed.Mission StatementMichigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.Responsibilities
Manage operations of the outpatient financial clearance, centralized outpatient authorization and patient financial counseling unit to include:
Insurance verification, benefit eligibility, prior authorization/notification requirements, patient estimates, pre-collections and patient education and redirection.
Customer service, patient financial assistance, resolve clinic, billing and patient benefit and coverage inquiries.
Communicate the vision of patient financial advocacy to staff, team leads, supervisors and others who impact the patient financial experience
Develop department goals, initiatives, KPI's, management reports and scorecards that align with the ideal patient financial experience
Develop management skills of supervisor (s) by coaching and delegating while managing risk and ensuring accountability for delegated items.
Act as a liaison for authorizations, financial clearance, and financial counseling. Cultivate mutually beneficial relationships across the continuum of Revenue Cycle including clinics, payors, billing, coding, HITS and other Revenue Cycle departments.
Review staff productivity reports. Conduct regular meetings with auditors, supervisors, team leads and senior management to discuss productivity statistics and trends
Review and evaluate quality assurance (QA) data; implement improvement at the unit level to minimize errors; evaluates key performance indicator (KPI) data; identify opportunities to increase efficiency and implement performance improvement projects.
Employ Lean methodology to standardize work, surface problems, find efficiencies, eliminate waste, and develop problem-solving skills of supervisor, team leads, and staff.
Actively participate in the evaluation and implementation new technology.
Adjust workflow processes and work queues to ensure staff are working efficiently and prioritizing appropriately.
Interview, select and orient new employees, setting hours of work and workload assignments in conjunction with the supervisor and director.
Ensure supervisors and staff are adequately trained and make hiring, disciplinary, and termination recommendations.
Conducts annual performance evaluations.
Investigate, distribute, and resolve insurance and billing issues that are related to authorization, financial clearance and financial counseling activity.
Complete root cause analysis on denials and no-authorization write-offs and follow up with staff and customers to educate and implement processes to ensure positive outcomes.
Intercede with difficult customers and/or cases requiring in-depth knowledge of the prior authorization, financial clearance and financial counseling workflows.
Attend and/or lead internal and external departmental meetings as needed or requested.
Coordinates special projects related to financial clearance, financial counseling and authorizations as assigned.
Required Qualifications
A Bachelor's degree in, Healthcare Administration, Health Information Technology, Business or other healthcare related field, or equivalent amount of years' experience.
5+ years management experience.
5+ business office experience within a healthcare setting is necessary.
Knowledge of health insurance, third party payers, government regulations and ICD-10 and CPT coding are required.
Strong written, verbal, and interpersonal communication skills, problem solving, decision making, and negotiation skills are necessary.
Excellent computer application skills are required.
Strong dedication to customer service, ability to be flexible and work within a team-focused, participative management framework is required.
Desired Qualifications
A Master's degree in a healthcare or business-related field and prior experience working in Prior Authorization, Financial Clearance, or Coding.
Coding background is strongly desired.
Previous project management experience is preferred.
Understanding and ability to interpret medical terminology and insurance benefit information is preferred.
Considerable knowledge of university policies, procedures and regulations is desired.
Work LocationsThis position is a remote position where you will work fromhome/virtuallyonce training is completed and performance-based competency has been obtained. High speed internet is a requirement for this position and the cost is the responsibility of the staff member. There may be occasions where the staff member may need to report to the business office location, including meetings, computer or technology requirements, or to complete work that is not possible to handle remotely. The business location will have space available to reserve onsite work when required or necessary. Although there is some flexibility in working hours, the business location and operations are in the Eastern Time Zone and work hours must accommodate interactions, including video conferencing, with colleagues during these hours. Computing resources including required software applications, VPN, desktop or laptop computer, monitor, webcam, keyboard and mouse, will be provided by the employer. Remote staff are not provided with a mobile phone but are provided with computer telephone and fax technology. Office equipment such as desk, chair, and printer are not provided. Basic supplies such as paper and pens, are stocked at the business location and are available to remote staff for pick-up should they choose. Unless otherwise agreed in advance with your manager, additional hardware, software, printing, and cost of office supplies preferred by the staff member, are the responsibility of the employee.Technology Skills required include the ability to set-up computer and monitors and connect accessory items such as mouse, keyboard, and web cams. Remote computing support is available 24/7 via phone, chat, or ticketing system, to all staff members. Staff will be expected to effectively communicate and resolve most computing issues directly with computing support resources.Background ScreeningMichigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.Application DeadlineJob openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.U-M EEO/AA StatementThe University of Michigan is an equal opportunity/affirmative action employer.Job DetailJob Opening ID250411Working TitleAdmin Manager Inter HealthcareJob TitleAdmin Manager Inter HealthcareWork LocationMichigan Medicine - Ann ArborAnn Arbor, MIFull/Part TimeFull-TimeRegular/TemporaryRegularFLSA StatusExemptOrganizational GroupExec Vp Med AffairsDepartmentMM Rev Cycle (PTO)Posting Begin/End Date6/14/2024 - 7/12/2024Career InterestHealthcare Admin & SupportApply Now