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UnityPoint Health Director Financial Clearance in Des Moines, Iowa

This position may sit out of any of our UnityPoint regions.

The Director, Financial Clearance is responsible for guiding operational processes within the departments of Central Financial Clearance and Patient Financial Counseling. This includes but is not limited to the functions of pre-registration, pre-authorization and authorization verification, notice of admission, marketplace enrollment, and patient financial assistance for hospital services. This position is responsible for ensuring that key performance indicators for patient financial clearance (both centralized and decentralized) are consistently developed, measured and achieved.

Leadership

  • Oversight of Central Financial Clearance functions (e.g. pre-registration of patients, authorization and verification of authorization, notice of admission) and Patient Financial Counseling functions (e.g. marketplace enrollment, Medicaid enrollment and financial assistance enrollment) to ensure daily operations are maintained according to system defined standards.

  • Provides leadership in achieving organizational and departmental goals through planning, organizing, implementing and monitoring process in areas of responsibility.

  • Ensures assigned authorization and patient financial assistance functions are performed in compliance of federal and state guidelines.

  • Responsible for monitoring and recommend adjustments to department staffing practices to ensure compliance with benchmarking requirements and budgetary guidelines.

  • Conducts annual performance appraisals for assigned team members.

  • Evaluates and recommends improvements to system policies and applicable job descriptions where needed.

  • Investigates budget variance and initiates corrective actions when necessary.

  • Leads team by motivating, mentoring, coaching and providing guidance 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. 

  • Provides guidance to Manager of Central Financial Clearance and Regional Manager, Marketplace Exchange to ensure effective, efficient operations, optimization of performance and continually improving quality in a vastly changing health care environment. 

  • Presents data, strategies, and progress towards goals in various governance management forums. 

  • Maintain regular and consistent communication with Executive Director, Patient Access, UnityPoint Clinic Referral Centers, Revenue Integrity leaders and Regional Financial Executive (VP of Finance or CFO) as applicable.

Process Improvement

  • Implement Financial Clearance/Patient Financial Counseling process improvement initiatives regionally as needed to improve workflows and to achieve departmental, hospital and corporate goals.

  • Lead system wide efforts in policy development and standardization of workflows.

  • Share concerns with and/or escalate team issues to the Executive Director of Patient Access, as appropriate

  • Develop additional metrics and benchmarks to support quality assurance and other Patient Access functions. Focus on call center best practice for benchmarking.

  • Recommends appropriate orientation and ongoing education to promote optimum associate performance within assigned departments.

  • Execute on identified operational changes in support of strategic initiatives for the Patient Access Division.

Education:

  • Bachelor’s Degree, in lieu of degree, additional 3 years of work experience is acceptable.

  • Master’s Degree in Business or Healthcare Administration preferred.

Experience:

  • Minimum 5 years management experience

  • 10+ years of healthcare experience in Business, Finance and/or Revenue Cycle in acute care hospital or related organization with increased leadership responsibilities.

  • In addition to specific healthcare experience, 3 years of call center leadership experience preferred.

License(s)/Certification(s):

  • LEAN or Six Sigma Certification preferred

Knowledge/Skills/Abilities:

  • Demonstrated progressive leadership experience

  • Knowledge of Medicare, Medicaid, managed care and commercial payor requirements related to Financial Clearance and Patient Financial Counseling processes

  • Knowledge of compliance requirements for Financial Clearance and Patient Financial Counseling

  • Strong verbal and written communication skills

  • Knowledge of accreditation requirements, state and federal regulatory and professional standards.

  • Knowledge of and experience with Microsoft Office products

  • Strong interpersonal skills

  • Ability to take initiative, exercise independent judgment with strong decision making, and problem-solving skills

  • Must be able to travel to affiliates, varies

  • Experience with Epic EHR application preferred.

Requisition ID: 2021-86106

Street: 6200 Thornton Ave

Name: 9010 Administration

FTE (Numeric Only; Ex. 0.01): 1.0

FLSA Status: Exempt

Scheduled Hours/Shift: Days

External Company Name: UnityPoint Health

External Company URL: http://www.unitypoint.org

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