Plan, organize and supervise the daily operational activities of the unit. Schedule daily work and monitor the quality and quantity of work performed by the individuals within the team. Assist with planning and developing departmental procedures, policies and standards. Lead, motivate, counsel and coach individuals on the team. Provide consistent and constructive feedback to staff. Recommend and implement corrective action when needed. Professionally represent the department byestablishing and maintaining positive business relationships with internal and external customers of the precertification and financial clearance department.
Supervise the daily operations of the Precertification Specialist and Patient Business Associate.
Interview, select and orient new employees; setting hours of work and workload assignments in conjunction with the manager and ensuring necessary class attendance and system access is in place.
Approve requests for time off based on workplace operations; create and maintain schedules; verify accuracy of timesheets for payroll.
Document and evaluate staff productivity. Conduct regular meetings with staff to discuss individual productivity statistics and provide timely feedback.
Perform routine quality reviews and audits to ensure that performance standards are being met.
Prepare detailed analysis reports based on productivity and quality review interpretation and results. Organize and present findings to manager.
Conducts annual performance evaluations.
Review staff ideas for process improvement. Assist in reducing or eliminating barriers that impede staff empowerment, performance and efficiency.
Develop, recommend and coordinate the implementation of new processes through the application of LEAN methodology.
Investigate, distribute and resolve billing issues that are related to precertification or financial clearance activity.
Complete root cause analysis on denials and follow up with staff and customers to educate and implement processes to ensure positive outcomes.
Intercede with difficult customers and/or cases requiring in-depth knowledge of the precertification and financial clearance workflow.
Identify consistency in scheduling errors and/or system related concerns and report findings to manager.
Attend and/or lead internal and external departmental meetings as needed or requested by manager.
Oversee the efficient operation and utilization of equipment. Ensure all compliance regulations are being met.
Other duties as assigned that support the success of the inpatient precertification and financial clearance team and workflow processes.
A minimum of an Associate’s degree in Health Information Technology, Healthcare Administration, Business or other healthcare related field and 3-5 years of business office or healthcare experience is necessary. Knowledge of health insurance, third party payers, government regulations and ICD-10 and CPT coding are required. Strong written, verbal and interpersonal communication skills, problem solving, decision making and negotiation skills are necessary. Excellent computer application skills are required. Strong dedication to customer service, ability to be flexible and work within a team-focused, participative management framework is required.
A Bachelor’s degree in a healthcare or business related field and prior experience working in Precertification, Coding, Health Information Management, Utilization Review or Nursing is strongly desired. Coding certification is favored. Previous supervisory and/or project management experience is preferred. Understanding and ability to interpret medical terminology and insurance benefit information is preferred. Considerable knowledge of University policies, procedures and regulations is desired.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
The University of Michigan Health System improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.
The University of Michigan is an equal opportunity/affirmative action employer.
Internal Number: 165789
About University of Michigan - Ann Arbor
A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.