Manager, Financial Clearance ( On-Site )

Employment Type:

Full time

Shift:

Day Shift

Description:

Role is on-site at Loyola Medicine Hospitals and Clinics

The Financial Clearance Manager is responsible for overseeing the comprehensive management of the Financial Clearance department, including daily operations, process improvement, strategic planning, and quality assessment. This role ensures efficient and effective operations by leading efforts related to pre-certification, insurance verification, and securing financial clearance for all patient services. The Financial Clearance Manager will develop and manage workflows, staff, and technology to ensure that third-party, governmental, or patient payment sources are established before services are rendered, thereby reducing write-offs, increasing collections, and enhancing customer satisfaction. The ideal candidate will have a strong background in healthcare financial management, with the ability to lead and inspire teams, analyze complex data, and drive performance improvements to achieve departmental and organizational goals.

Position Responsibilities:

Operational Leadership:

Provide leadership and direction for all office activities related to pre-certification, insurance verification, and financial clearance for patient services.

Develop, implement, and maintain departmental workflows, ensuring operational efficiency and effectiveness.

Manage and support the Financial Clearance team, including the supervisors, in daily operations and long-term planning.

Strategic Planning and Process Improvement:

Develop and implement strategic plans to optimize departmental performance and align with organizational goals.

Analyze performance data to identify areas for improvement and implement process enhancements to increase productivity and quality.

Design and manage departmental dashboards to monitor and report on key performance indicators (KPIs), utilizing data to inform decision-making and resource allocation.

Financial and Human Resource Management:

Oversee the financial performance of the department, including budget development, expense management, and financial forecasting.

Lead recruitment, training, and development efforts for departmental staff, ensuring a high level of competency and engagement.

Conduct regular performance evaluations, provide feedback and coaching, and foster a positive and collaborative team environment.

Quality Assessment and Compliance:

Ensure compliance with all relevant policies, procedures, and regulatory requirements, including Medicare, Medicaid, and the Fair Patient Billing Act.

Lead quality assessment initiatives to continually evaluate and improve departmental performance and patient satisfaction.

Develop and maintain reporting systems to track quality, productivity, and overall performance.

Program Design and Implementation:

Design and implement new programs and services to enhance financial clearance processes and support patient access to care.

Collaborate with other departments, such as Patient Access, Revenue Cycle, and Clinical Services, to integrate financial clearance processes into overall patient care workflows.

Stakeholder Engagement:

Build and maintain relationships with key stakeholders, including clinical departments, insurance providers, and social service agencies.

Serve as a resource and advocate for patients, ensuring they have access to the financial resources and information needed to receive care.

Position Requirements:

Minimum Education:

Required: Bachelor’s Degree in Business Administration, Healthcare Administration, or related field.

Preferred: Master’s Degree in Business Administration, Healthcare Administration, or related field.

Minimum Experience:

Required: 3-5 years of previous job-related experience in healthcare financial services or revenue cycle management.

Managerial Experience: 3-5 years of leadership experience, with demonstrated ability to manage teams and complex operations within a healthcare setting.

Knowledge and Skills:

Comprehensive understanding of insurance verification, pre-certification, and financial clearance processes.

Strong analytical and problem-solving skills, with the ability to interpret complex data and develop actionable strategies.

Excellent leadership, communication, and organizational skills.

Proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint); experience with EPIC or other electronic health records (EHR) systems is preferred.

Magis & Service Excellence Accountabilities:

Demonstrate commitment to Loyola Medicine’s values of Care, Concern, Respect, and Cooperation through teamwork and effective communication.

Maintain an environment of service excellence and high-quality outcomes, ensuring patient safety and satisfaction.

Our Commitment to Diversity and Inclusion:

Loyola Medicine is committed to building a culturally diverse community and fostering an environment of inclusivity and respect. We encourage all qualified individuals, regardless of background, to apply.

Compensation:

Competitive salary commensurate with experience, with comprehensive benefits package.

At Loyola University Medical Center, we know you’re more than your job. We see you and all of your potential. That’s why we invest in our people. Clinical advancement programs, flexible scheduling, tuition reimbursement and day one benefits… at Loyola, what’s important to you, is important to us. Join our family.

Benefits from Day One

Daily Pay

Competitive Shift Differential Pay

Career Development

Tuition Reimbursement

On Site Fitness Center (Gottlieb Memorial Hospital & LUMC)

Educational Stipend

Certification reimbursement (up to 1 certification)

Referral Rewards

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran