Director Financial Clearance - Raleigh, United States - WakeMed

Description

About WakeMed:
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County.

With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.

For more information, visit Information:

The Director Financial Clearance is responsible for the direction of all financial clearance services for the following functions: prior authorizations and referral pre-registration pre-service collections preadmissions and financial counseling.

The director ensures the review and interpretation of denial reports productivity reports quality and all other reports as necessary and resolves issues related to financial clearance as well as financial counseling.

Responsible for managing and directing personnel activities and staff development training and evaluation. Ensures key performance indicators for patient financial clearance and financial counseling are consistently developed measured and achieved. Develops and enforces policies procedures and operational guidelines to maximize financial reimbursement.

Reports to the Vice President of Revenue Cycle while serving as a liaison with the community physician offices and payers related to Financial Clearance issues.

Acts as an advocate for the patient physician and hospital relative to compliance with federal state and third-party regulatory requirements.

Demonstrates a high level of integrity and innovative thinking and actively contributes to the success of the organization.


Experience Requirements:
7 Years Related Position Experience Required - And 2 Years Management - Direct Area of Responsibility Required

Education Required:
Bachelor's Degree Finance Or Business Administration Or Health Administration Or Related Field Required - And Master's Degree PreferredLicensure/

Certification Requirements:
Not ApplicableHours of Work:Monday - Friday 8:00am - 5:30pm

Weekend Requirements:
No Weekends

Call Requirements:
As Needed