Financial Clearance Supervisor

This is a fully remote position, open to applicants in United States.

📋 Description

• Manage the daily functions of a team of financial clearance specialists focused on prior authorizations and patient estimations.

• Supervise daily tasks associated with prior authorizations and patient estimates.

• Evaluate individual and team productivity, quality, and turnaround times.

• Offer real-time support, guidance, coaching, onboarding, training, and continuous development.

• Ensure the timely and precise submission of prior authorization requests and eligibility confirmations.

• Monitor pending authorizations and follow up to prevent appointment delays.

• Assist staff in addressing payer-related issues or denials.

• Elevate complex or urgent cases to management.

• Work with the A/R Team to pinpoint denial trends.

• Oversee the accuracy of patient estimates based on insurance coverage and service types.

• Ensure the use of sanctioned tools and scripts for patient financial discussions.

• Supervise and support pre-service collections.

• Ensure adherence to standardized workflows and documentation protocols.

• Identify workflow obstacles and recommend enhancements.

• Aid in the implementation of new tools or process modifications.

• Engage in daily huddles and operational meetings.

• Provide updates on performance, barriers, and training to the Manager of Financial Clearance.

• Document and report recurring issues or payer trends.

• Comply with Solaris Health’s Code of Conduct, policies, applicable laws, HIPAA requirements, and compliance procedures.

⛳️ Requirements

• An Associate’s degree or equivalent work experience in healthcare or business administration is required.

• A Bachelor’s degree is preferred.

• A minimum of 2 years of experience in healthcare revenue cycle operations, specifically in prior authorizations or patient financial clearance.

• At least 1 year in a lead or supervisory position is preferred.

• Understanding of payer requirements, insurance benefits, and financial counseling practices.

• Excellent interpersonal and communication skills.

• Capability to coach and inspire team members.

• Detail-oriented with strong organizational abilities.

• Proficient in electronic health record systems, payer portals, and Microsoft Office.

• Ability to efficiently manage time and adapt in a dynamic environment.

• Professional verbal and written communication skills.

• Strong analytical and problem-solving capabilities.

• Compliance with HIPAA regulations to maintain patient confidentiality.

• Adherence to all health and safety policies established by the organization.

🏝️ Benefits

• Full-time employment.

• Fully remote work environment.

• Annual Compliance Training.