Director Financial Clearance

About City of Hope

City of Hope, an innovative biomedical research, treatment and educational institution with over 4000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy.

Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation's 20 leading cancer centers that develops and institutes standards of care for cancer treatment.

Job Title: Director, Financial Clearance

Requisition ID: 10508

Location: Irwindale, CA

Position Summary:

Responsible for directing and managing patient financial clearance functions which includes pre-registration, insurance/benefits verification, payer authorization, price estimation and financial counseling functions. Collaborates with other patient access leadership to optimize front end financial clearance processes, ensuring proper and timely billing and reimbursement, optimizing cash collections and reducing front end denial errors. Responsible for developing, implementing and continued support of process improvement initiatives. Providing the necessary leadership to ensure the efficient operations and the successful achievement of financial clearance and the organization's strategic goals. This position, in collaboration with operational leadership and staff, is tasked to identify and implement strategies to promote interdepartmental collaboration, engage staff, improve processes, ensure consistent quality, promote operational efficiency, enhance the patient experience, and meet regulatory compliance guidelines. Drives a patient-focused culture with an emphasis on accountability and customer service.

Key Responsibilities include:

20% Personnel Management

  • Accomplishes appropriate resource objectives by recruiting, selecting, orienting, training, assigning work, coaching, counseling, and disciplining employees; administering timekeeping system; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation actions; enforcing policies and procedures.
  • Develop a culture of pride and ownership and provide opportunities for learning and growth. Ensures appropriate staffing levels throughout work week, reassess staffing levels to identify and achieves staffing optimization. Monitors and authorizes overtime when necessary. Schedule work assignments to ensure appropriate staffing coverage during regular office when scheduled and unscheduled absences occur. Provides timely decision making and direction to staff to streamline workflow, improve efficiency of operation and eliminate delays; re-assign work as needed.
  • Leads by example; promotes teamwork by fostering a positive, transparent and focused working environment which achieves maximum results.

30% Quality Assurance

  • Monitors staffing productivity and quality by establishing and monitoring thresholds and benchmarks. Provides constructive feedback to staff and senior leadership.Responsible for implementing quality control audits to monitor the quality of work and provide retraining as required to maintain performance standards.
  • Establish and foster excellent customer service practices supporting the daily needs of patients, caregivers, providers and staff.Oversees effective customer service systems, communication and feedback. Serve as the first line of communication and follow through for patients via direct means, telephone, email, and written correspondence.Respond and solve problems, including internal and external complaints.

30% Resource Management

  • Continuously assess and streamline processes, establishing and implementing standard work, maintaining performance boards, monitoring metrics, coordinating meetings and facilitating workgroups.
  • Implements new technology, and acts as a catalyst for change to meet current and future business needs. Provide subject matter and technical expertise in the design and implementation of relevant applications. Functions as authority for all decisions related to relevant system(s).

Responsible for preparing the annual fiscal budget for related cost centers. Monitors monthly budget and expenses, modifying spending as needed. Ensures expenditures stay within budget and accounts for variances when they occur.

20% Strategic Planning

  • Responsible for planning and directing the organization's strategic goals as they relate to patient access. Continuously plans, monitors, and assesses all that is necessary for the organization to meet its goals and objectives. Conducts organizational reviews to identify strengths, weaknesses, and opportunities and to evaluate operational effectiveness.

Minimum Education: Bachelor's required, Master's Degree in Business Administration/Healthcare or Finance preferred.

Minimum Experience: At least 10 years revenue cycle management experience: insurance and benefits verifications, pre-authorizations, and financial counseling.

City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.

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