Supervisor, Financial Clearance

The Johns Hopkins Health System Corporation (JHHS) is a not-for-profit organizationacademically based health system dedicated to providing the highest quality patient health care in the treatment and prevention of human illness.

YOU Belong Here

What awaits you:

• Robust benefits package
• 403B Savings Plan w/employer contribution.
• Generous Paid Time off & Paid holidays.
• Employee and Dependent Tuition assistance benefits.
• Room for growth

This is a full time remote role. Applicants residing in MD VA DC PA DE and FL will be given first consideration.

Must have experience with authorizations in a hospital setting- Surgical Labor and Delivery hospital transfers etc.

Job Summary:

Supervises the daily operations of the financial clearance processes ensuring efficient workflow management and adherence to policies. Monitors staff training scheduling and performance evaluations to maintain high standards of service. Coordinates with various teams to validate insurance verification obtain prior authorizations.

Job Functions:

• Supervises the financial clearance team to ensureaccurateandtimelyprocessing of insurance verifications and authorizations.
• Coordinates with healthcare providers and insurance companies to resolve any issues related to patient coverage and eligibility.
• Implementsdepartmental policies and procedures to streamline financial clearance processes and ensure compliance with regulatory requirements.
• Monitors the accuracy of financial clearance data tovalidateinsurance payer requirements for prior authorization and/orsubmitrelevant clinical documentation to secure financial clearance.
• Provides coaching guidance and training to staff tomaintainperformance and engagement
• Develops andmaintainseffective communication channels with clinical departments physicians operational leaders and both internal and external stakeholders.
• Follows organizational override policy for patients lacking financial clearance.
• Responsible for employment activities including hiring firing corrective action trainingmonitoringand conducting performance reviews.

Qualifications:

• Associates Degree in healthcare administrationor a related field (Required)
• One year of relevant education may be substituted for one year of required workexperienceor one year of relevant professional-level work experience may be substituted for one year of required education.
• 5 years of experience in revenue cycle or patient account management (Required)
• Navigate rapidly changing situations from evolving patient needs to technological advancements byremainingflexible continuously learning embracing new challenges and quickly recovering from setbacks.
• Excellent written and verbal communication skills with an emphasis on confidentiality tact and diplomacy.
• Work seamlessly within diverse teams bringing together professionals from various disciplines to provide patient-centered care and achieve collective goals.
• Addresses problems that are varied requiring analysis or interpretation of the situation using direct observation general knowledge and skills based on general precedents.
• Possesses thorough knowledge and comprehensive understanding of the reasons and rationale behind established policies and procedures in Pre-Service Revenue Cycle Management.
• Advancedproficiencyand experience using Microsoft Office Package (Excel PowerPoint Word Outlook).

Salary Range: Minimum 27.46/hour - Maximum 48.06/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount salary discussions will occur during candidate screening calls before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment where we embrace and celebrate our differences where all employees feel valued contribute to our mission of serving the community and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity and expression age national origin mental or physical disability genetic information veteran status or any other status protected by federal state or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.