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Workup Coweta

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Systems Director, Financial Clearance

City of Hope

City of Hope

Accounting & Finance
Posted on Tuesday, July 9, 2024

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

This role oversees all teams and operations within Financial Clearance across all City of Hope on-license facilities within multiple states. Manages and provides support to subordinate leaders, relaying organizational and departmental objectives, setting project timelines and expectations, and addressing operational issues. Contributes to the establishment of department performance goals and monitors department progress toward desired results; identifies inefficiencies and implements necessary improvements to workflows. Identifies differences in payers, services, and physician requirements by state and service area and ensures workflows and processes are built accordingly. Shares department performance data at meetings with critical stakeholders, including leaders from multiple facilities and states. Takes accountability for overall department performance and holds other leaders and staff accountable for their actions. Works with executive leadership to develop and refine departmental policies and procedures, providing recommendations to increase efficiency and accuracy of workflows. Submits and manages approved department budget, including salary and other direct expenses. Advocates for change on behalf of the department that promotes growth or innovation; supports findings with data and facts. Represents department at leadership meetings and serves as a liaison to cross-functional departments in support of related matters. Encourages cross-departmental/cross-facility collaboration to enhance revenue cycle efficiencies. Establishes relationships and maintains contact with existing business partners that support patient access and payer management functions to ensure reimbursement is secure while maintaining a streamlined patient experience. This position, in collaboration with operational leadership and staff, is tasked to identify and implement strategies to promote interdepartmental collaboration, engage staff, improve processes, ensure consistent quality, promote operational efficiency, enhance the patient experience, and meet regulatory compliance guidelines. Drives a patient-focused culture with an emphasis on accountability and customer service.

As a successful candidate, you will:

Personnel Management

  • Accomplishes appropriate resource objectives by recruiting, selecting, orienting, training, assigning work, coaching, counseling, and disciplining employees; administering timekeeping system; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation actions; enforcing policies and procedures.
  • Develop a culture of pride and ownership and provide opportunities for learning and growth. Ensures appropriate staffing levels throughout the work week, reassess staffing levels to identify and achieve staffing optimization. Monitors and authorizes overtime when necessary and within budget. Provides timely decision making and direction to staff to streamline workflow, improve efficiency of operation and eliminate delays; re-assign work as needed.
  • Leads by example; promotes teamwork by fostering a positive, transparent and focused working environment which achieves maximum results.

Quality Assurance

  • Monitors staffing productivity and quality by establishing and monitoring thresholds and benchmarks. Provides constructive feedback to leadership. Responsible for implementing quality control audits to monitor the quality of work and provide retraining as required to maintain performance standards.
  • Establish and foster excellent customer service practices supporting the daily needs of patients, caregivers, providers and staff.

Resource Management

  • Continuously assess and streamline processes, establishing and implementing standard work, monitoring metrics, coordinating meetings and facilitating workgroups.
  • Implements processes and technology to meet current and future business needs. Provide subject matter and technical expertise in the design and implementation of relevant applications. Functions as authority for all decisions related to relevant system(s).
  • Responsible for assisting with the preparation of the annual fiscal budget for related cost centers. Monitors monthly budget and expenses, modifying spending as needed. Ensures expenditures stay within budget and accounts for variances when they occur.

Strategic Planning

  • Responsible for planning and directing the organization’s strategic goals as they relate to financial clearance. Continuously plans, monitors, and assesses all that is necessary for the organization to meet its goals and objectives. Conducts organizational reviews to identify strengths, weaknesses, and opportunities and to evaluate operational effectiveness.

Qualifications

Your qualifications should include:

  • Bachelor’s degree (3 additional years of experience plus the minimum experience requirement may substitute for minimum education).
  • At least 7 years revenue cycle experience: insurance and benefits verifications, pre-authorizations, and financial counseling.
  • 5 years of management experience.
  • Preferably: Master’s Degree in Health Care or Finance. Acute Hospital experience. Certified Healthcare Access Associate, Certified Healthcare Access Manager, Certified Healthcare Financial Professional, or Certified Revenue Cycle Representative.

City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity, and inclusion, please click here. To learn more about our Comprehensive Benefits, please CLICK HERE.