Quality Generalist Manager jobs in Oregon

Title: Manager Financial Clearance

Job Description:
The Manager Financial Clearance provides oversight and direction for Financial Clearance Teams, including Hospital and Clinic Pre-Registration and Prior Authorization, and Financial Counseling. In this role, you will be responsible for managing pre-registration, insurance and benefit verification, prior authorization, and financial counseling supervisors for efficiency and effectiveness. You will also monitor benchmarks and performance statistics to ensure optimal revenue cycle workflow and revenue affecting tasks.

Responsibilities:
- Provide oversight and direction to Financial Clearance Teams, including Hospital and Clinic Pre-Registration and Prior Authorization, and Financial Counseling.
- Manage supervisors and ensure efficiency and effectiveness in pre-registration, insurance and benefit verification, prior authorization, and financial counseling processes.
- Monitor benchmarks and performance statistics to identify areas for improvement and implement necessary measures.
- Collaborate with Leaders of the service line, individual departments, providers, and staff to support revenue cycle workflow and protocols.
- Identify payor issues and trends hospital-wide by partnering with Payor Relations.
- Ensure compliance with relevant Hospital Policies, Practices, and HIPAA regulations.
- Stay updated on third party payer rules and regulations, ICD-10 and CPT coding, and medical terminology.
- Communicate effectively with patients and provide excellent customer service.
- Utilize problem-solving abilities, prioritize tasks, and meet deadlines in a fast-paced environment.
- Foster strong working relationships with patients, employees, faculty, and upper management.
- Facilitate groups and lead projects efficiently.
- Demonstrate excellent written and verbal communication skills.
- Proficiency in Microsoft Excel, Word, Project, or other spreadsheet and word processing software.
- Collect, organize, and analyze data to identify trends and opportunities for improvement.

Requirements:
- Bachelor's degree in Business Administration, Health Care Administration, Public Health, or related field of study.
- 2 to 5 years of experience with computerized hospital, clinical, and financial systems.
- Experience with Pre-Registration and Prior Authorization activities.
- 5 to 7 years of supervisory or management experience in a healthcare setting or related field.
- Proven experience in team/culture building for a large department.

Physical/Mental/Environmental Requirements:
- Requires extensive sitting with periodic standing and walking.
- May be required to lift up to 20 pounds.
- Requires significant use of personal computer, phone, and general office equipment.
- Needs adequate visual acuity, ability to grasp and handle objects.
- Needs ability to communicate effectively through reading, writing, and speaking in person or telephone.
- May require off-site travel.