Job Description

Location: Steward Health Care
Posted Date: 11/18/2021

Under the direction of the Senior Manager, Financial Clearance, this position has primary accountability for managing the day-to-day work of others, and limited responsibility for strategic or operational department changes.

Key Responsibilities:

  • Proactively monitor and evaluate performance; adjust and initiate solutions to resolve issues timely, accurately and effectively; and seek immediate performance improvements
  • Understand how and why staff performance fluctuates and make necessary adjustments to rectify
  • Complete daily triage of worklists to ensure proper prioritization, minimal backlogs, and unit results
  • Maintain staff interactions, assist staff with questions, problem accounts, and other training needs
  • First level of resolution for difficult situations with patients, physician offices, or insurance companies encountered by other members of the team
  • Address questions from hospitals and other departments (e.g., Utilization Management, Admissions)
  • Provide feedback to ensure staff complete appropriate work on accounts
  • Perform daily and End of Shift review of work queues and provide feedback to staff to ensure Urgent/Next Day accounts are secured timely
  • Monitor staff attendance and vacation
  • Interviewing for open positions
  • Monthly review of audio recordings for ten patient interactions, for each direct report for quality performance score
  • Manage workload effectively to ensure unit/department is meeting performance standards and securing all expected revenue
  • Makes physicians and other pertinent parties aware of situation(s) affecting the financial clearance of their patient(s)
  • Proactively present solutions to resolve access to care issues when possible
  • Assist with any testing / super user tasks as assigned
  • Develop appropriate PIP/development plans for direct reports

Required Knowledge and Skills:

  • 2 years minimum experience in patient access, call center, physician office or hospital billing with specific payor(s) subject matter expertise
  • Demonstrated ability to supervise teams or groups of colleagues
  • Experience with patient accounting systems, billing/claim submission software required - Specific XClaim and/or Meditech experience a plus
  • Ability to investigate, analyze and in coordination with management, resolve departmental issues
  • Under the direction of the Senior Manager, Financial Clearance, this position has primary accountability for managing the day-to-day work of others, and limited responsibility for strategic or operational department changes.

    Key Responsibilities:

  • Proactively monitor and evaluate performance; adjust and initiate solutions to resolve issues timely, accurately and effectively; and seek immediate performance improvements
  • Understand how and why staff performance fluctuates and make necessary adjustments to rectify
  • Complete daily triage of worklists to ensure proper prioritization, minimal backlogs, and unit results
  • Maintain staff interactions, assist staff with questions, problem accounts, and other training needs
  • First level of resolution for difficult situations with patients, physician offices, or insurance companies encountered by other members of the team
  • Address questions from hospitals and other departments (e.g., Utilization Management, Admissions)
  • Provide feedback to ensure staff complete appropriate work on accounts
  • Perform daily and End of Shift review of work queues and provide feedback to staff to ensure Urgent/Next Day accounts are secured timely
  • Monitor staff attendance and vacation
  • Interviewing for open positions
  • Monthly review of audio recordings for ten patient interactions, for each direct report for quality performance score
  • Manage workload effectively to ensure unit/department is meeting performance standards and securing all expected revenue
  • Makes physicians and other pertinent parties aware of situation(s) affecting the financial clearance of their patient(s)
  • Proactively present solutions to resolve access to care issues when possible
  • Assist with any testing / super user tasks as assigned
  • Develop appropriate PIP/development plans for direct reports
  1. Education/Licensure:

  2. Education - CHAA/CHAM preferred
  3. Experience - At least 2 years’ related experience.
  4. MS Office suiteSoftware/Hardware -