Director, Centralized Financial Clearance and Price Estimates (Director, Revenue Cycle)

Job description

Department Overview The Director of Centralized Financial Clearance and Prices Estimates is responsible for the strategic and operational oversight of financial clearance, price estimates, and referral workflows across OHSU Health and has direct management responsibility for the Centralized Financial Clearance, Insurance Verification Specialists, Price Estimates, and Epic Referrals Systems teams that support various departments and services across the OHSU Health system. Financial Clearance workflows include verifying insurance coverage and benefits, submitting and obtaining prior authorizations, and providing price transparency for patients who are self-pay, are receiving non-covered services, or have an insurance that is out of network and/or non-contracted. In addition, the Centralized Finanical Clearance team ensures that all planned admissions to the OHSU hospital and urgent admits (ED or add-ons) have the appropriate benefits, are authorized, and ensure payor notifications are completed at the time of admission. This position also has direct oversight of the Epic Referrals Systems team, which manages the referral application workflows and system build within Epic, as well as...