The Outpatient Financial Clearance and Authorization team is looking for a full-time Supervisor responsible for functions related to financial clearance activities that include timely procurement of authorizations and denial management related to scheduled outpatient services. This includes but not limited to:

• Supervise the daily operations of staff responsible for performing financial clearance activities for complex cases such as: Insurance verification, benefit eligibility, prior authorization/notification requirements, patient estimate, pre-collections and patient education and redirection.
• Coordinate staff workload to ensure authorizations are received timely and secured prior to patient's appointment
• Interview, select and orient new employees, setting hours of work and workload assignments in conjunction with the manager.
• Ensure staff are adequately trained and make hiring, disciplinary, and termination recommendations.
• 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.
• Review and evaluate quality assurance (QA) data; implement improvement at the unit level to minimize errors; evaluates key performance indicator (KPI) data; identify opportunities to increase efficiency and implement performance improvement projects.
• Monitor and adjust workflow processes and work queues to ensure staff are working efficiently and prioritizing appropriately
• Develop, recommend, and coordinate the implementation of new processes through the application of LEAN methodology.
• Review and track staff ideas for process improvement.  Assist in reducing or eliminating barriers that impede staff empowerment, performance, and efficiency.
• Conducts annual performance evaluations.
• Investigate, distribute, and resolve insurance and billing issues that are related to authorization and 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 prior authorization and financial clearance workflows.
• Attend and/or lead internal and external departmental meetings as needed or requested.
• Coordinates special projects related to financial clearance and authorization as assigned.
• 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 outpatient authorization and financial clearance team and workflow processes.

• An Associate's degree in Healthcare Administration, Health Information Technology, Business or other healthcare related field, or equivalent amount of years' experience and 5 years of experience within a healthcare setting 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 with health insurances, Prior Authorization, Financial Clearance, or Coding is preferred.
• A CPC certification is strongly desired.
• 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. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Michigan Medicine 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.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

The University of Michigan is an equal employment opportunity employer.

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.

Connections working at University of Michigan - Ann Arbor