Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity — of culture, thinking, learning and leading — is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.
The Manager – Financial Clearance reports to the Assistant Director – Financial Clearance and is responsible for the management and oversight of activities related to financial clearance for Vanderbilt University Medical Center's (VUMC) technical and professional revenue cycle encompassing Vanderbilt University Hospitals & Clinics as well as Vanderbilt Medical Group.
Manages the technical and/or professional revenue cycle. Oversees daily operations of billing, collection and payment process.
Provide oversight and leadership for the financial clearance team
Work with colleagues throughout VUMC to continuously improve the revenue cycle while enhancing service to patients and optimizing relationships with strategic business partners and vendors
Develop, implement, and manage efficient and effective operational policies, processes and performance monitoring
Coordinate with peers across the revenue cycle organization to effectively manage third-party denials by identifying trends and implementing denials prevention and/or recovery programs related to financial clearance services
Partner with peers across the scheduling, registration management, pre-service patient collections, onsite patient access, and clinical areas to ensure both pre-service and day of service activities are coordinated to ensure patients are financially cleared prior to treatment
Ensure third party payer requirements (e.g. eligibility, pre-certification / authorization, referral management, etc.) are met
Coordinate with utilization management departments to ensure compliance with admitting and discharge procedures, including patient-type status changes, and management of appeals in coordination with the business office
Ensure staff comply with established policies, processes and quality assurance programs
Build strong relationships and facilitate productive communication between key revenue cycle stakeholders, including peer leaders and core support departments (e.g., clinical, human resources, informatics, finance)
Measure and report ongoing financial and operational performance of financial clearance team
Work collaboratively with teams across VUMC, VMG, and VHAN to communicate and educate leadership regarding improvement opportunities as necessary
Support the implementation of any software applications or technology enablers that improve the overall functionality of pre-visit services. This may include installation and/or enhancements to the core patient account applications or other technologies
Supervise, recruit, motivate, develop and retain a superior team that is outcome focused, encourages efficiency and automation, drives performance, and effectively develops and rewards key performers
REVENUE CYCLE - Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.
LEADERSHIP Formulates a vision while motivating & guiding employees promoting engagement. Leaders state precise goals, ensures the commitment of individuals to those goals, defines the methods of measurement, and provides the incentive to accomplish measureable outcomes.
OPERATIONS PLANNING - Anticipates resource needs to meet objectives and implements appropriate processes.
PEOPLE MANAGEMENT - Interacting, communicating, building relationships and developing employees.
COMPLIANCE - Understanding the rules, regulations, sanctions and other statutory requirements, guidelines and instructions relating to governing bodies and organizations, both internally and externally.
BUSINESS RESULTS - Ability to achieve business results while focusing on quality, customer satisfaction, and stewardship.
QUALITY MANAGEMENT - Developing a systematic process of checking to see whether a process or service is meeting specific requirements.
VUMC Recent Accomplishments:
Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:
US News & World Report: #1 Hospital in Tennessee, #1 Health Care Provider in Nashville, #1 Audiology ( Bill Wilkerson Center ), 12 adult and 10 pediatric clinical specialties ranked among the nation's best, #15 Education and Training
Truven Health Analytics: among the top 50 cardiovascular hospitals in the U.S.
Becker's Hospital Review: one of the "100 Greatest Hospitals in America"
The Leapfrog Group: grade "A" in Hospital Safety Score
National Institutes of Health: among the top 10 grant awardees for medical research in the US
Magnet Recognition Program: Vanderbilt nurses are the only group honored in Middle Tennessee
Nashville Business Journal: Middle Tennessee's healthiest employer
American Hospital Association: among the 100 "Most Wired" medical systems in the US
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period.Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As th...e largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.