Manager, Financial Clearance

Accountabilities

• Manages and develops supervisory and lead-level staff, providing coaching, mentoring, performance oversight, and succession planning to build a strong leadership pipeline.
• Maintains and continuously improves department workflows, dashboards, productivity models, and key performance indicators (KPIs).
• Oversees staffing models, workload balancing, productivity expectations, and resource allocation to support operational needs.
• Leads process-improvement initiatives, workflow redesign, and operational standardization across financial clearance functions.
• Affords system-wide standardization of financial clearance workflows, documentation requirements, and operational practices across all entities.
• Safeguards financial clearance processes to support revenue goals, including reduction of authorization-related and eligibility-related denials and improvement of first-pass claim yield.
• Collaborates with Denials Management to address recurring issues, implement corrective actions, and prevent downstream billing disruptions.
• Maintains coverage, authorization, and medical necessity processes.
• Collaborates with scheduling, clinical, patient access, utilization management, billing, contracting, and other operational leaders to ensure seamless clearance readiness and effective communication.
• Supports operational readiness for new programs, services, locations, or workflow changes that impact financial clearance.
• Aids in developing the annual operating budget and manages performance to budget through effective resource planning and productivity oversight.
• Maintains expenditures, ensures appropriate fiscal responsibility, and supports cost control strategies while maintaining service quality.
• Promotes a culture of accountability, teamwork, transparency, and patient-centered service within the Financial Clearance division.
• Ensures employees understand organizational goals, performance expectations, and their individual contributions to patient access and revenue cycle excellence.

Education and Experience

• Bachelor's Diploma AND 3+ years revenue cycle setting experience OR High School Diploma/GED with 10+ years revenue cycle setting experience
• 3+ years supervisory/management experience (preferred)

Skills and Abilities

• PROJECT/CHANGE MANAGEMENT: Ability to manage concurrent projects while meeting project deadlines.
• TECHNOLOGY: Ability to use Microsoft Excel.
• TECHNOLOGY: Ability to use Microsoft Power Point.
• TECHNOLOGY: Ability to use Microsoft Word.
• Ability to manage difficult situations with tact and diplomacy.
• Thoughtful individual, politically astute with strong diplomatic skills.
• Outstanding relationship building skills.
• Strong communication skills with all levels of staff and personnel.
• Ability to analyze, diagnose, suggest, and implement process change.
• Understanding of medical terminology.
• Ability to lead/manage others.
• Ability to work in a fast-paced environment with changing priorities.
• Ability to work within tight timeframes and meet strict deadlines.
• Demonstrated ability to build a high-performing team.
• Experience in a healthcare environment.
• Experience using EPIC (preferred).
• Knowledge and understanding of front-to-back-end revenue cycle business processes.
• Knowledge of community, state, and federal laws and resources (preferred).
• Knowledge of federal, state, and third-party payer requirements.
• Must be dependable.
• Must be strategic thinker.