Full-time, 40 hours/week

Monday-Friday 8am-4:30pm

Hybrid remote (2-3 days/week onsite)

Summary:

The Manager Authorizations is responsible for the overall management of pre-arrival operations for the ACH, including strategic planning, capital and operational budgeting, financial analysis, key metric development and management, regulatory compliance, problem resolution, personnel management, performance improvement, and system improvement and optimization. Pre-Arrival operations may include, but are not limited to pre-registration, insurance verification, securing authorizations, patient estimates, price transparency, billing, pre and post claim edits, denials for hospital and physician services, and pre-authorization.

Responsibilities:

1. Oversee all pre-arrival operations, including but are not limited to pre-registration, insurance verification, securing authorizations, patient estimates, price transparency, billing, pre and post claim edits, and denials for hospital and physician services.
2. Analyze planned and sentinel events to develop strategies for improvement and routinely evaluate industry and market forces to provide recommendations for new and/or evolving business development and/or improvement in efficiency and effectiveness of operations.
3. Manages ongoing operational evaluation, reporting to metrics and standards consistent with established goals and target outcomes, and drive for minimized patient delay and cancellations as processes failure points which are to be prevented.
4. Evaluation of the current financial clearance technology stack to provide strategic guidance for enhancing the streamlined processing of accounts.
5. Oversee Leaders who manage Authorizations team processes and workflow to ensure 100% of account accuracy of patient demographics, all required account fields, validation and verification of insurance coverages, authorizations and patient contact and pre-service collections.
6. Prepares and administers assigned budgets; monitors, evaluates and approves expenditures within limits of authority, analyzes staffing needs; performs cost/benefit analyses as appropriate; plans and estimates future costs including capital expenditures as appropriate; justifies requests for equipment and staff.
7. Coordinate with Clinical Department leaders to communicate Authorization's support model and scope to plan for the transition of services when mutually agreed upon
8. Develop, monitor, and report metrics. Set goals and objectives, Develop and implement processes and procedures to reach and exceed goals, and Actively participate and collaborate among entities and departments promoting performance improvement and patient satisfaction.
9. Develops, recommends, revises and implements policies and procedures for assigned programs and services to ensure their consistency with hospital standards and requirements.
10. Develop effective internal controls that promote adherence to applicable state/federal laws, and the program requirements of accreditation agencies and federal, state and private health plans.
11. Selects, trains, evaluates, and counsels management personnel fostering a positive, supportive culture that minimizes employee turnover and establishes departmental goals and priorities
12. Create and maintain work plans providing timely and relevant feedback to supervisors and employees.
13. Collaborate with clinical administrators, clinical departments, hospital administration, medical staff and all other key enterprise stake holders to enhance patient satisfaction and effectiveness of the pre-arrival services. 

Other information:

Technical Expertise

Full Time

FTE: 1.000000

Status: Fixed Hybrid

About Akron Children's

More Than a Job. It’s loving what you do - and why you do it. Akron Children’s Hospital is ranked among the best pediatric hospitals by U.S. News & World Report, but it’s our compassionate approach to treatment that sets us apart. It’s creating special high-fives. Thinking of new ways to spark a smile. Holding hands to offer comfort. And working to get a giggle that brightens a room. The minute you walk into Akron Children’s, you can sense that people here love what they do. From visits with the Doggie Brigade, to the balloons and smiles in the halls, the sights and sounds are all about one thing: the children. We are the largest pediatric healthcare system in Northern Ohio and one of the fastest growing in the country. Akron Children’s has two hospital campuses in Northeast Ohio: one in Akron and the other in Boardman in the Mahoning Valley. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we’re making it easier for today’s busy families - regardless of where they live - to find the high-quality care they need. No matter which of our locations you choose, you’ll see that when you give the most, you get more—...support, rewards and satisfaction. CAREER OPPORTUNITIES: It’s making the most of your days. Our passion is felt every day in the way people care at every level. Whether you are working with children face-to-face, or behind the scenes supporting the care and services we deliver, you impact futures. Visit us and see why it’s more than just a place to work. It’s a family. Apply today at careers.akronchildrens.org.

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