Exploration Manager jobs in Eugene, OR

Manager Financial Clearance

• Provides oversight and direction for Financial Clearance Teams (Hospital and Clinic Pre-Registration and Prior Authorization, and Financial Counseling).
• Manages pre-registration, insurance and benefit verification, prior authorization and financial counseling supervisors for efficiency and effectiveness, monitors, benchmarks, and performance statistics.
• Interacts with all Leaders of the service line for which the Manager is accountable (hospital and clinic).
• Works with individual departments, providers, and staff to support the goals and protocols of revenue cycle workflow and revenue affecting tasks.
• Partners with Payor Relations to identify payor issues and trends hospital-wide.

SKILLS AND ABILITIES

• Knowledge of relevant Hospital Policies, Practices and HIPAA regulations.
• Knowledge of Registration (Epic) and billing systems (Epic) and databases or other revenue cycle technologies.
• Knowledge of Governmental and non-government requirements applicable to patient financial clearance processes
• Knowledge of Current knowledge of third party payer rules and regulations.
• Knowledge of ICD-10 and CPT coding.
• Knowledge of medical terminology.
• Ability to communicate well with patients.
• Problem solving abilities, prioritizing, multi-task, meet deadlines and adapt to changing priorities
• Strong organization and decision-making abilities.
• Ability to work independently with strong follow-up skills to ensure effective and efficient completion of tasks.
• Effective interpersonal skills and professional conduct and ability to maintain effective working relationships with all patients, employees, faculty and upper management.
• Ability to facilitate groups.
• Demonstrated written and verbal communication skills.
• Ability to receive and disseminate information effectively and appropriately, reviewing and acknowledging unit communication.
• Ability to apply project management protocols for efficient workflows.
• Ability to manage multiple projects in a timely and efficient manner.
• Proficient in Microsoft Excel, Word, Project or other spreadsheet and/or word processing software.
• Ability to collect, organize and analyze data to implement appropriate countermeasures.
• Ability to provide leadership in problem identification and issue resolution
• Ability to analyze revenue write-off data and identify trends and opportunities and the ability to present such data to a variety of audiences

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

SUBMISSION REQUIREMENTS

EDUCATION/CERTIFICATIONS/LICENSES/DEGREES

• Bachelor's degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study Required

EXPERIENCE

• 2 to 5 years’ experience with computerized hospital, clinical and financial systems Required
• Experience with Pre-Registration and Prior Authorization activities Required
• 5 to 7 years supervisory or management experience in a healthcare setting or related field required; progressive management responsibility Required.
• Experience with team/culture building for a large department Required

Job Type: Full-time

Pay: $68,790.00 - $87,000.00 per year

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• On call
• Weekends as needed

Education:

• Bachelor's (Required)

Experience:

• computerized hospital, clinical and financial systems: 5 years (Required)
• Pre-Registration and Prior Authorization activities: 1 year (Required)
• supervisory or management experience in a healthcare setting: 5 years (Required)
• team/culture building for a large department: 1 year (Required)

Ability to Commute:

• Coos Bay, OR (Required)

Ability to Relocate:

• Coos Bay, OR: Relocate before starting work (Required)

Work Location: In person