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Manager, Eligibility And Verification

Expired Job

Dignity Health Phoenix , AZ 85002

Posted 3 weeks ago

Overview

Hello humankindness

Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 200 providers and 500 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 subspecialty services.

The physicians provide clinical services in their areas of specialty and many serve in pivotal academic, research and leadership roles.

DHMG is also heavily involved in preparing tomorrow's healthcare providers. DHMG has 84 medical school students and approximately 200 residents and fellows throughout the 25 academic programs.

Clinical services are complemented with translational and bench research to augment medical education for residents and students.

The mission of Dignity Health Medical Group is consistent with Dignity Health's mission and St. Joseph's guiding principles with a focus on innovative clinical care and pursuit of excellence through scholarly activities.

As part of the Dignity Health hospital system, DHMG has full access to the staff and all facilities on our hospital campuses. This unique relationship with our hospital allows Dignity Health Medical Group to provide its patients with state-of-the-art patient services including care of the poor and disenfranchised.

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For the health of our community ... we are proud to announce that we are a tobacco-free campus.

Responsibilities

SUMMARY

The Manager, Eligibility and Verification is expected to manage the overall performance of the connection center to maximize the effectiveness of all service delivery systems, financial performance, engage staff and cultivates a connection center culture that prioritizes humankindness and patient-centric care consistent with Dignity Health and the medical group's way and culture. Effectively manages all operational aspects of the assigned connection center activities involving eligibility, authorization and referral management, and financial clearance processes.

Collaborates and supports other patient connection center leadership, and works closely with staff, clinical and revenue cycle leadership, and providers to ensure that all fiduciary, revenue stream and connection center goals are met. Proactively determines workload priorities through planning, coordination and managing staff and providers to meet the care center's administrative, operational and support requirements. This position may have access to third party credit card information and transactional systems (cash registers, point of sale devices, applications supporting credit card transactions, and reports or other documents containing credit card information) from single transactions or a single card at a time. This position will also have access to patient protected health information (PHI). The Manager, Eligibility and Authorization has a responsibility to safeguard patient health and financial information.

Qualifications

MINIMUM REQUIREMENTS

Bachelor's Degree in business, Healthcare Administration or similar field, or equivalent experience required. Equivalent experience should include centralized referral, authorization, and eligibility verification management

Possesses 3-5 years of supervisory level experience OR equivalent experience with stepped levels of responsibility over customer registration, referral, authorization, and/or eligibility verification team(s) in a large and multi-site organization.

Has demonstrated success in managing teams that deliver superb customer and employee satisfaction that consistently met/exceeded operational, service and budget goals and metrics.

Possesses strong analytical skills and ability to conduct root-cause analysis on complex subjects and translate findings into appropriate action. Ability to translate organizational strategy into operational improvements.

Has experience using process improvement methodologies to develop efficient work flows, implementing quality assurance, and standardizing policies, procedures, and connection center performance management. Excellent presentation, communication, organization, and conflict resolution skills and capabilities. Superior leadership skills, particularly in cultivating a high-performing, highly engaged and diverse team.

Has a record of recruiting, retaining, developing, and coaching top talent. Advanced knowledge of Microsoft Excel, Access, Word and PowerPoint.

PREFERRED QUALIFICATIONS
5-7 years of experience managing a centralized registration, admitting, referral/authorization, eligibility verification, and financial clearance team.
3 years experience managing in a multi-channel centralized contact center with a healthcare environment.
1 year experience utilizing workforce optimization technology.

Bachelor's Degree with 5 years healthcare or related experience preferred.

Previous training in insurance eligibility, authorization, verification and coding practices preferred

Process improvement methodology such as Lean Six Sigma preferred.

Fluent in current contact center technologies



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Manager, Eligibility And Verification

Expired Job

Dignity Health