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Director Financial Clearance

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Job ID 56751 Job Category Administration/Management Shift Day Employment Type Full-Time Campus WakeMed Business Center (Highwoods Building) Department Patient Accounting Administration

About WakeMed:
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.
EOE

Position Information:
The Director Financial Clearance is responsible for the direction of all financial clearance services for the following functions: prior authorizations and referral pre-registration pre-service collections preadmissions and financial counseling. The director ensures the review and interpretation of denial reports productivity reports quality and all other reports as necessary and resolves issues related to financial clearance as well as financial counseling.  Responsible for managing and directing personnel activities and staff development training and evaluation.  Ensures key performance indicators for patient financial clearance and financial counseling are consistently developed measured and achieved.  Develops and enforces policies procedures and operational guidelines to maximize financial reimbursement. Reports to the Vice President of Revenue Cycle while serving as a liaison with the community physician offices and payers related to Financial Clearance issues. Acts as an advocate for the patient physician and hospital relative to compliance with federal state and third-party regulatory requirements. Demonstrates a high level of integrity and innovative thinking and actively contributes to the success of the organization.

Experience Requirements:
7 Years Related Position Experience Required - And 2 Years Management - Direct Area of Responsibility Required

Education Required:
Bachelor's Degree Finance Or  Business Administration Or  Health Administration Or  Related Field Required - And Master's Degree  Preferred

Licensure/Certification Requirements:
Not Applicable

Hours of Work:
Monday - Friday 8:00am - 5:30pm

Weekend Requirements:
No Weekends

Call Requirements:
As Needed

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Make a Difference at WakeMed

Brittany, RN
Riley, RN
Chris, BSN, RN, CCRN
Tiffany, MA
Donald, President & CEO

At WakeMed Health & Hospitals, we are guided by a simple — yet powerful mission: to improve the health and well-being of our community by providing outstanding and compassionate care to all.

We think it’s pretty simple – we care for our employees and our employees care for the community.

What You Can Expect

At WakeMed Health & Hospitals, our commitment to the health and well-being of our community begins right here at home with the WakeMed family. We think it’s pretty simple — we care for our employees and our employees care for the community.

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WakeMed provides an inclusive work and patient care environment where differences are valued and everyone is respected.

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It doesn’t take long to realize that WakeMed is a unique organization and home to a culture that is unlike any other.

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