Patient Financial Clearance Lead (Remote) (stanfordhealthcare)

Job Description

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This is a Stanford Health Care job.

A Brief Overview
Under the direction of Department Management, the Patient Financial Clearance Lead performs payor authorization activities in accordance with applicable payor requirements. They are responsible for completing all activities related to registration, insurance verification, authorization activities, and transition to the financial counseling department in accordance with established Stanford Health Care regulations, policies, and procedures. This is a senior level role that requires leadership skills and involves a multitude of responsibilities, including mentoring, training, and delegation of work assignments for subordinate team members

Locations
Stanford Health Care

What you will do

• Assists with coverage efforts, staff scheduling and daily assignments.

• Willing to work (varied hours) - cover absent team members.

• Completes insurance and authorization processes and assigns daily task and monitors daily activities and workflows.

• Prepares timely reports/communicates to Department Manager the status of their service lines with respect to potential problems, changes, or requirements.

• Performs daily quality review evaluations of staff and offers suggestions for improvement, reports quality concerns to Manager.

• Leads daily huddles as needed.

• Serves as a subject matter expert to staff for questions regarding insurance or authorization problems.

• Provides a high level of C-I-Care when dealing with Patients/Clinical Staff.

• Maintains the necessary technical expertise and knowledge, and information on payer requirements to ensure that all staff members are following appropriate requirements and receiving necessary compliance training.

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• Participates on task forces and committees as needed.

• Provides effective leadership direction to immediate subordinates to include creating work tools to enhance productivity and establishing process improvement procedures.

• Ensures subordinates receive appropriate training, guidance, and corrective counseling in a manner consistent with established policy. Provides input for performance evaluations, and employees receiving appropriate recognition and reward for their contributions.

• Participates in recruiting, interviewing, and staffing team appropriately consistent with established policy.

• Performs other duties and responsibilities as assigned by the Manager of Patient Financial Clearance.

Education Qualifications

• High School diploma or GED equivalent

Experience Qualifications

• Minimum four (4) years of progressively responsible and directly related work experience including one (1) year of lead/supervisory experience.

Licenses and Certifications

• HFMA - Certified Rev Cycle Rep (CRCR) required within 18 month

Physical Demands and Work Conditions
Blood Borne Pathogens

• Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

• Know Me: Anticipate my needs and status to deliver effective care

• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.