Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Manager, Eligibility And Verification

Expired Job

Dignity Health Phoenix , AZ 85002

Posted 3 weeks ago


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.

Look for us on Facebook and follow us on Twitter.

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



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.



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.

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

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Eligibility Interviewer Trainee

State Of Arizona

Posted 1 week ago

VIEW JOBS 12/5/2018 12:00:00 AM 2019-03-05T00:00 Department of Economic Security Providing Opportunity, Assistance and Care for Arizonans in need! Eligibility Interviewer Trainee Division of Benefits and Medical Eligibility 4344 W. Indian School Rd. Phoenix, AZ 85031 Attendance is key to the successful completion of training and potential advancement opportunities. Candidates who accept an offer of employment with the Division of Benefits and Medical Eligibility will be required to attend mandatory training during the first 4 to 6 months of employment. JOB SUMMARY: Eligibility Interviewers are responsible for providing quality customer service to the public while interviewing and gathering pertinent information to complete the benefit determination process for Nutrition Assistance (NA – formerly known as Food Stamps), Arizona Health Care Cost Containment System (AHCCCS) Medical Assistance (MA) and Temporary Assistance for Needy Families (TANF) or Cash Assistance (CA) . The eligibility interview process is completed in a high volume office environment. JOB DUTIES: * Complete interviews lasting approximately 30 to 60 minutes with clients who are seeking public assistance, benefits interviews are conducted face to face or over the phone for at least 6.5 hours per day. * Gather documents and/or complete data entry to determine eligibility for benefits of SNAP (Supplemental Nutrition Assistance Program, TANF (Temporary Assistance for Needy Families) and Medicaid * Evaluate a client's current family and living situation, as well as work and income; apply that information to policy and laws for each of the 3 programs; applying information appropriately to each program and entering data into two different eligibility systems. * Provide excellent customer service as well as be empathetic to clients' situations. Communicate effectively with clients both internal and external * Attend daily meetings; type, read and interpret policy; have an understanding of multiline phones; knowledge of computers to include using a mouse and keyboard; Microsoft Outlook and other Microsoft office software. * Ability to attend training and learn how to complete the above job duties. KNOWLEDGE, SKILLS AND ABILITIES (KSAs): Knowledge of: * Knowledge of internet and email use, task management and MS Office software, such as Word, Excel and PowerPoint. Skill in: * Skill in conducting interviews and gathering information while providing excellent customer service to clients seeking benefits offered by the Division * Skill in typing with speed and accuracy Ability to: * Ability to apply basic mathematical skills to determine public assistance eligibility. * Ability to learn basic federal, state and agency statutes, rules and regulations applicable to the public assistance programs. * Ability to develop and maintain effective working relationships with both internal and external clients, including other state agencies and community resources * Ability to work at least 40 hours per week and provide support to the team or department * Ability to provide proof of obtaining a High school diploma or GED SELECTIVE PREFERENCE(S): * At least two (2) years of customer service work experience which includes 1 year of interviewing, evaluating and determining eligibility (preferred). PRE-EMPLOYMENT REQUIREMENTS: * Have a current, valid Arizona State issued driver's license appropriate to the assignment. Employee is subject to driver's license record checks and must maintain an acceptable driving record, valid motor vehicle insurance and registration, and must complete any required training (see Arizona Administrative Code R2-10-207.12). Travel is required for training and meetings, which may require an overnight stay * Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees * Successfully pass background and reference checks. Employment is contingent upon completion of the above-mentioned process and the agency's ability to reasonably accommodate any restrictions * Valid Professional License BENEFITS: The Arizona Department of Economic Security offers a comprehensive benefits package to include: * Sick leave * Vacation with 10 paid holidays per year * Health and dental insurance * Retirement plan * Life insurance and long-term disability insurance * Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance RETIREMENT: Positions in this classification participate in the Arizona State Retirement System (ASRS). Please note, enrollment eligibility will become effective after 27 weeks of employment. CONTACT US: If you have any questions please feel free to contact 602-774-5515 for assistance. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting the Staffing Unit [email protected] or 602-771-2870. Requests should be made as early as possible to allow time to arrange the accommodation. Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer. State Of Arizona Phoenix AZ

Manager, Eligibility And Verification

Expired Job

Dignity Health