Kennedy Krieger Institute

ASSISTANT MANAGER - FINANCIAL CLEARANCE

Vacancy ID
5477
Pos. Category
Professional/Management
Job Location : Street
1741 Ashland Ave
# of Hours
40.00
Job Locations
US-MD-Baltimore
Pos. Type
Regular Full Time

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

  1. Provides guidance, and supervises a team of Insurance Verification Specialists (IVS) in day to day operations.
  2. 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.
  3. Conducts timely staff performance evaluations including initial evaluations, annual appraisals, and follow-ups resulting from coaching or disciplinary actions.
  4. 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.
  5. 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.
  6. 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.
  7. Verifies, interprets, and documents patient health insurance or payment sources. Audits IVS team to ensure complete and accurate information is entered into the system.
  8. Evaluates eligibility for alternate sources of financing care and refers patients and families to appropriate agencies where possible.
  9. Estimates self-pay portions after benefits have been determined, such as deductibles, co-pays, and non-covered services.
  10. 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.
  11. Maintains regular communication and follow-up with patients and families to keep them informed of clearance and self-pay matters.
  12. Maintains regular communication and follow-up with program and department contacts regarding pending insurance, coverage, and other payment-related matters.
  13. 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.

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