Manager, Revenue Cycle – Financial Clearance

This is a fully remote position, open to applicants in California, +9 more states.

📋 Description

• Supervise the daily operations of the Patient Assistance Center Financial Clearance team.

• Ensure effective access operations, consistent service delivery, staff preparedness, and alignment with revenue cycle objectives.

• Track and report on essential metrics, such as secure rates, days out, authorization initiate-to-complete, denial trends, call center metrics, and departmental productivity.

• Conduct root cause analyses and formulate action plans when metrics fall short of internal targets or industry best practices.

• Complete monthly trend analyses and present findings to senior management.

• Develop and oversee adherence to goals, performance standards, and policies and procedures.

• Define, implement, and manage quality and productivity benchmarks.

• Monitor compliance with third-party payer and government regulations as well as company policies.

• Execute operational changes and provide timely training for staff.

• Collaborate with legal and compliance departments on access-services issues.

• Maintain comprehensive knowledge of Financial Clearance and Pre-registration processes.

• Manage dashboards, including system functionality, workflows, and reporting mechanisms.

• Work together with physician and hospital leadership to enhance authorization, referral, and financial-clearance processes.

• Conduct regular rounds and collect feedback from stakeholders.

• Develop and implement strategies for employee engagement.

• Participate in employee engagement initiatives, succession planning, and career development for direct reports.

• Report directly to the Vice President of Revenue Cycle, Front-End Operations.

⛳️ Requirements

• Bachelor’s degree in healthcare administration, business administration, finance, education, or a related field is preferred.

• An equivalent combination of education and extensive, directly relevant work experience may be considered.

• A minimum of five years of progressively responsible experience in revenue cycle, eligibility, financial clearance, patient assistance, or a similar healthcare function is preferred.

• Advanced skills in writing and presentation.

• Strong project and time management abilities with a capacity to meet deadlines through effective prioritization.

• Proficiency in Microsoft Office applications.

• Ability to cultivate professional relationships across various levels of leadership.

• Must reside in Arkansas, California, Kentucky, Massachusetts, Nevada, New Mexico, Oregon, Utah, Tennessee, Texas, or Wyoming.

• Travel requirement not exceeding 25%.

🏝️ Benefits

• Competitive salary along with a comprehensive benefits package.

• Opportunities for professional growth and advancement.

• A supportive work environment with a collaborative team.

• Comprehensive healthcare coverage.

• Retirement savings plan.

• Paid time off and flexible scheduling options.

• Student loan repayment program.