Sanford Health Director, Financial Clearance Center - Patient Access in Sioux Falls, South Dakota

Job Title: Director, Financial Clearance Center | Patient Access | Multi-City

City: Multi-City

State: Multi-State

Department : Patient Access Director - Sioux Falls

Job Schedule: Full Time

Shift: Days

Hours Per Shift: 8 hr

JOB SUMMARY

Delivers consistent and effective leadership on various business processes and technologies related to Sanford’s financial clearance functions across the Enterprise. Comprised functions include, but are not limited to, pre-admission/pre-registration, insurance and benefit verification, prior authorization, financial counseling and advocacy, patient service price estimation and pre-service cash collections. Establishes Enterprise standards and financial clearance metrics used to track and monitor the efficiency, quality, and adherence to adopted policies and procedures. Oversees development and maintenance of effective working relationships, at varying position levels, to optimize the patient experience and patient's financial clearance experience. Supports senior leadership in setting strategic direction for the Financial Clearance Center to ensure optimal performance of financial clearance processes. Contributes to the organization's financial performance through the following key functions: Effectively leads and coordinates initiatives and operations associated with financial clearance activities and directs the implementation of standards and systems to enhance quality, efficiency, and timeliness with consistency of such processes. Develops a system of accountability and sets expectations to align the Financial Clearance Center strategic goals and operational initiatives across the Enterprise. Oversees development of Financial Clearance Center reporting metrics and directs efforts to monitor, assess and ensure the ongoing feasibility of such metrics to ensure continued alignment of policies and process against industry best practices. Directs efforts to institute summary level dashboards that aggregate key performance indicators within the Financial Clearance Center to drive informed decisions regarding current state process, staff training/development needs, and process improvement opportunities. Supports senior leadership in setting the strategy and champions financial clearance processes that will protect the institution's revenue and achieve optimal patient experience. Oversees third party processes and staff across the Enterprise who assist patients with enrollment into a variety of financial programs based on eligibility including, but not limited to, Supplemental Security Income, Social Security Disability, Medicaid programs, County eligibility, and Indian Health Services. Researches and educates staff on available programs. Ensures avenues of reimbursement or assistance are pursued for uninsured and underinsured patients. Educates cross functional sections on financial statement process relating to payment options and hospital assistance. Maintains thorough understanding of state and federal regulations related to Medicaid, Social Security Disability, and Medicare. Comprehends and interprets government healthcare initiatives; recommends innovative changes that support governmental funding changes. Leads data gathering processes during pre-service. Leads cross-functional team(s) in issue resolution, process improvement, and change management. Manages diverse teams of individuals from multiple departments during the management of projects and strategic initiatives, and daily operational work.

POSITION RESPONSIBILITIES

Removes obstacles and barriers to process improvement. Sponsors initiatives to introduce new capabilities that optimize or reduce overall requirements. Directs the development, maintenance, and communication of own function's strategic plan. Ensures that team members are on board, unified, and moving in the same direction. Assesses departmental staffing needs; actively participates in resourcing efforts. Builds an environment of openness to new ideas and approaches. Guides others on key operational issues and considerations from an end-user perspective. Leads in developing, implementing and enforcing policies, procedures and performance standards. Proves that business processes are in compliance with applicable laws and regulations. Defines KPIs, and measurement of these, for the organization.

DEPARTMENT DETAILS

No additional details required at this time.

QUALIFICATIONS

Bachelor's degree in business, health care administration or a related field.

Must have seven years' experience relevant work experience.

About Sanford Health:

At Sanford Health, we are dedicated to the work of health and healing.

Every day, we show that commitment by delivering the highest quality of care to the communities we serve.

We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.

In addition to strong clinical care, we are also committed to research, education and community growth.

We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.

We continuously seek new ways to achieve our vision of improving the human condition here in your community, across the region and around the world.

The entire team at Sanford Health recognizes the value of healthy families and communities.

We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application,

please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

City: Multi-City

State: Multi-State

Job Function: Revenue Cycle

Job Schedule: Full Time

Shift: Days

Req Number: WD03107