ASSISTANT MANAGER - FINANCIAL CLEARANCE
Company: Kennedy Krieger Institute
Location: Baltimore
Posted on: March 19, 2023
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Job Description:
Overview:The Assistant Manager, Financial Clearance serves as
the lead verification specialist for team designated
responsibilities and tasks. The Assistant Manager, Financial
Clearance provides direct supervision and leadership to a team of
Insurance Verification Specialists (IVS) and share knowledge
formally and informally via individual and group instruction. This
position will serve as a resource to the IVS Team for special
insurance verification cases and for gaining insurance clearance in
difficult situations.Responsibilities:Provides guidance, and
supervises a team of Insurance Verification Specialists (IVS) in
day to day operations.Orients, trains, and monitors proficiency of
staff; manages daily staff schedules to ensure appropriate
coverage; re-assigns staff during peak loads to prevent patient
delays in verifying insurance.Conducts timely staff performance
evaluations including initial evaluations, annual appraisals, and
follow-ups resulting from coaching or disciplinary actions.Monitors
staff time and attendance records, including requests for time off;
approve payroll ensuring that hours are accurate and resources are
within Institute and departmental policies and
procedures.Collaborates with Care Center supervisors regarding
daily activities and workflow to avoid patient delays by
proactively monitoring pre-registration, authorizations, and single
case agreements for designated care centers.Collaborates with the
Director, CMO, and Manager, CMO, to establish and adjust
performance standards and workloads for staff. Creates and
maintains a positive, knowledge-sharing, and collegial work
environment. Sets high work and ethical standards by providing
mentorship, direction, and support to staff.Verifies, interprets,
and documents patient health insurance or payment sources. Audits
IVS team to ensure complete and accurate information is entered
into the system.Evaluates eligibility for alternate sources of
financing care and refers patients and families to appropriate
agencies where possible.Estimates self-pay portions after benefits
have been determined, such as deductibles, co-pays, and non-covered
services.Performs weekly quality assurance audits of IVS' work to
ensure 100% accuracy is achieved. Communicates findings to the
Director, CMO, Manager, CMO, and subordinates; indicates areas that
require improvement.Maintains regular communication and follow-up
with patients and families to keep them informed of clearance and
self-pay matters.Maintains regular communication and follow-up with
program and department contacts regarding pending insurance,
coverage, and other payment-related matters.Forwards supporting
documentation to staff in registration, patient accounting, and
clinical areas, as applicable.Qualifications:EDUCATION:High School
Diploma or GED required.Bachelor's degree in Healthcare
Administration or related degree preferred.EXPERIENCE:At least five
years of previous insurance verification experience, previous
formal supervisory experience, or a combination of both is
required.Benefits:We require full COVID vaccination or
documentation of medical and/or religious exemption(s) approval for
this job as we are a healthcare institution committed to putting
health and safety first for our patients, students, employees, and
the communities we serve.Kennedy Krieger Institute offers excellent
benefits including medical, dental, vision, 401K with match,
tuition reimbursement, free parking and child care subsidies! In
addition, we offer rich professional development opportunities.
Keywords: Kennedy Krieger Institute, Baltimore , ASSISTANT MANAGER - FINANCIAL CLEARANCE, Accounting, Auditing , Baltimore, Maryland
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