Financial Clearance Supervisor

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

📋 Description

• Oversee the daily operations of a team tasked with handling prior authorizations and patient estimates.

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

• Offer immediate support, guidance, and coaching to team members.

• Aid in the onboarding, training, and continuous development of staff.

• Cultivate a positive and collaborative team atmosphere.

• Ensure the timely and accurate submission of prior authorization requests and eligibility verifications.

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

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

• Escalate complex or urgent cases to management when necessary.

• Work alongside the A/R Team to identify common denial patterns.

• Supervise the generation of precise patient estimates based on insurance coverage and types of services.

• Ensure that staff utilize approved tools and scripts for financial discussions with patients.

• Oversee and support team initiatives to aid pre-service collections.

• Ensure adherence to standardized workflows and documentation procedures.

• Identify workflow challenges and propose improvements to management.

• Assist with the rollout of new tools or process modifications.

• Engage in daily huddles and operational meetings as required.

• Provide the Manager with updates on team performance, obstacles, and training requirements.

• Document and report recurring issues or payer trends.

• Carry out other duties related to the position as assigned.

• Comply with ethical conduct, relevant laws and regulations, Solaris Health policies, HIPAA guidelines, compliance reporting, and annual compliance training.

⛳️ Requirements

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

• A Bachelor’s degree is preferred.

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

• A minimum of 1 year in a lead or supervisory capacity is preferred.

• Familiarity with 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.

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

• Ability to effectively manage time and adapt in a fast-paced environment.

• Professional verbal and written communication skills.

• Strong analytical and problem-solving capabilities.

• Commitment to complying with HIPAA regulations for patient confidentiality.

• Adherence to all health and safety policies of the organization.

🏝️ Benefits

• Fully remote position.

• Full-time employment.