Manager Enterprise Financial Access

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The Manager of Enterprise Financial Access directs and coordinates all activities related to financial counseling and financial clearance across WVU Medicine hospital locations. This includes benefit verification, service estimates, patient financial education, and assistance programs. The role ensures timely, accurate, and patient-centered financial access processes as part of the system’s comprehensive care model.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School diploma or equivalent.

EXPERIENCE:

1. Five (5) years of experience in hospital finance, revenue cycle, patient financial services, billing, collections, or accounts receivable management.

2. Two (2) years of direct supervision of associates.

 

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s degree in Finance, Business Administration, or related field.

2. Certified Healthcare Financial Professional (CHFP) – HFMA.

EXPERIENCE:

1. Working knowledge of hospital-based applications and Microsoft Office.

2. Familiarity with third-party payers, medical terminology, and time-of-service collection procedures.

 

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Direct financial counseling and clearance operations across WVU Medicine’s enterprise, ensuring consistency, compliance, and excellence in service delivery.  Key operations include: 

a. Delivery of Patient Estimates: Oversee the generation of patient cost estimates for scheduled services, including insurance coverage, copays, deductibles, and out-of-pocket costs. Ensure the accuracy of delivered estimates. 

b. Oversight of Financial Assistance Programs: Manage workflows for processing financial assistance, Medicaid, or charity care applications.

c. Onsite Revenue Cycle Customer Service: Create a highly visible, interactive onsite Customer Service team to respond to inquiries from patients onsite including but not limited to request for an estimate, explanation of past balances, setup of payment plans, payment collection, and enrollment in financial assistance programs. 

2. Expand financial access services internally and externally by building and maintaining strong partnerships with other departments 

3. Develop, review, and revise policies and procedures to ensure accurate and efficient financial access processes, ensuring compliance compliance with federal and state regulations, including the No Surprises Act, and internal standards.

4. Manage enterprise-level projects to support revenue cycle goals, including finding funding sources and establishing workflows to identify and connect patients to available funding sources. Manage continuous improvement projects to counsel on benefits. 

5. Set and drive goals using data-driven strategies related to estimate accuracy, estimate automation, financial assistance pre-screening, presumptive eligibility for financial assistance, and overall financial assistance approvals. 

6. Implement new technology to improve the patient financial experience and patient digital experience through patient-facing tools as well as to drive efficiency on the team through automation.

7. Oversight of departmental budget with responsibility for keeping system cost low. 

8. Oversight of departmental personnel, ensuring engagement, productivity, and workforce quality. Responsible for leadership development of supervisory staff. 

9. Ensure bi-directional communication with PFAS teams to foster collaboration and problem-solving.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Frequent walking, standing, lifting (up to 50 lbs), and manual dexterity.

2. Ability to work in high-stress, fast-paced environments with frequent interruptions.

3. Travel required across WVU Medicine locations.

4. Exposure to communicable diseases and confined office settings.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS AND ABILITIES:

1. Strong organizational and multitasking skills.

2. Excellent written and verbal communication.

3. Ability to work with diverse individuals and personality types.

4. High attention to detail and ability to retain and reference complex information.

5. Customer service excellence and telephone etiquette.

6. Proficiency in hospital systems and Microsoft Office.

7. Understanding of insurance requirements and covered services.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

535 SYSTEM Centralized Clearance Center