Job Description
Summary
The Manager of Patient Financial Clearance is responsible for managing the patient financial clearance and patient registration functions across The Guthrie Clinic. This role leads the central authorization team and corporate Medicaid enrollment team. This role ensures that patients are financially cleared for services in a timely, compliant, and patient-centered manner while supporting front-end revenue cycle goals. The Manager develops and leads initiatives to improve pre-service accuracy, reduce denials, streamline workflows, and enhance the patient experience across all points of access. This role reports to the Director Patient Financial Clearance.
Education
Bachelor's degree in business, finance, health or public administration or a related field
Experience
Bachelor's degree or 3 years of progressively responsible and related work experience. This requirement may be satisfied through an equivalent combination of education and 7 years prior experience in healthcare, insurance or retail businesses with responsibility and management of billing and patient collection. Epic experience in a health system or integrated delivery network (IDN). Progressive hospital and physician revenue cycle management experience within high-performing revenue cycle teams
Essential Functions
Leadership & Oversight
- Provides operational management of : - Centralized prior authorization and financial clearance units
- Medicaid eligibility and enrollment assistance teams
- Ensure consistent processes and performance across all facilities and centralized departments
Operational Excellence
Establish, monitor, and refine KPIs related to pre-registration, point-of-service collections, insurance verification, authorization turnaround, and enrollment conversionLead initiatives to reduce registration errors, authorization-related denials, and Medicaid coverage gaps by reducing uninsured or underinsured patientsEnsures alignment with health system access standards, compliance policies, and financial assistance programsPatient Access & Experience
Promote a positive, empathetic experience for patients at all financial clearance touchpointsOversee implementation of tools and scripting that improve transparency around benefits, co-pays, authorization and financial responsibilitiesCollaborate with patient financial services to support early engagement in payment plans or financial counselingRegulatory Compliance & Quality
Ensure compliance with regulatory guidelines including CMS, EMTALA, HIPAA, and payer requirementsOversee audit readiness, documentation standards, and training for authorization and eligibility practicesSupport Medicaid screening and eligibility determinations in accordance with state-specific rulesTechnology & Innovation
Partner with IT and vendor teams to optimize financial clearance systems including EMR, authorization portals, insurance discovery tools, and Medicaid screening softwareLeverage automation and AI-enabled tools to improve workflow efficiency and reduce manual errorsFinancial Impact & Strategy
Contribute to revenue integrity by ensuring accurate and timely pre-service processes that support downstream billingMonitor and report on financial clearance metrics and identify trends that affect reimbursement or patient satisfactionLead strategic planning for department growth, scalability, and cross-functional alignmentTeam Development
Hire, train, and develop managers, supervisors, and frontline staff across departmentsFoster a collaborative, accountable, and mission-driven work cultureImplement standardized training programs and continuous improvement models across all sites and teamsKey Performance Metrics include :
Pre-Service Collection RateTouchless Arrival RateAppt Prior Auth RateAdmission Prior Auth RateAuthorization Denial RateTime of Service Payment RateOther Duties
1. Travel for this position is sometimes required.
2. Participation in community and employee engagement activities is required.
3. It is understood that this description is not intended to be all-inclusive and that other duties may be assigned as necessary in the performance of this position.
Upload 9-22-25