Financial Clearance Supervisor

Description

GENERAL SUMMARY

The Supervisor of Financial Clearance is responsible for overseeing the daily operations of a team of financial clearance specialists who manage prior authorizations and patient estimations. This role ensures that staff follow established workflows, meet performance goals, and provide timely and accurate service to support patient access and reduce financial risk to the organization.

The Supervisor works under the direction of the Manager of Financial Clearance and serves as the first line of support for operational questions, issue resolution, and performance coaching. This role does not include oversight of in-office dispensing authorization, external pharmacy authorizations (e.g., CVS, Walgreens), or HMO product PCP referrals.

Requirements

ESSENTIAL JOB FUNCTION/COMPETENCIES

The responsibilities and duties described in this job description are intended to provide a general overview of the position. Duties may vary depending on the specific needs of the affiliate or location you are working at and/or state requirements. Responsibilities include but are not limited to:

• •Supervise day-to-day activities of a team responsible for prior authorizations and patient estimates.
• •Monitor individual and team productivity, quality, and turnaround times.
• •Provide real-time support, guidance, and coaching to staff.
• •Assist with onboarding, training, and ongoing development of team members.
• •Foster a positive and collaborative team environment.
• •Ensure timely and accurate submission of prior authorization requests and eligibility checks.
• •Track pending authorizations and follow up to avoid appointment delays.
• •Support staff in resolving payer-related issues or denials.
• •Escalate complex or urgent cases to management when needed.
• •Collaborate with A/R Team to identify common denial trends to avoid future authorization denials.
• •Oversee the generation of accurate patient estimates based on insurance coverage and service types.
• •Ensure staff are using approved tools and scripts for patient financial conversations.
• •Monitor and support team efforts to assist with pre-service collections.
• •Ensure team members are following standardized workflows and documentation protocols.
• •Identify workflow challenges and suggest improvements to the manager.
• •Assist with implementation of new tools or process changes as directed.
• •Participate in daily huddles and operational meetings as needed.
• •Provide updates to the Manager on team performance, barriers, and training needs.
• •Document and report any recurring issues or payer trends affecting performance.
• •Performs other position related duties as assigned.
• •Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.

CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS

N/A

KNOWLEDGE | SKILLS | ABILITIES

• •Strong interpersonal and communication skills.
• •Ability to coach and motivate team members.
• •Detail-oriented with strong organizational skills.
• •Proficiency in electronic health record systems, payer portals, and Microsoft Office.
• •Ability to manage time effectively and adapt in a fast-paced environment.
• •Professional verbal and written communication skills.
• •Strong analytical and problem-solving skills.
• •Complies with HIPAA regulations for patient confidentiality.
• •Complies with all health and safety policies of the organization.

EDUCATION REQUIREMENTS

• •Associate’s degree or equivalent work experience in healthcare or business administration required.
• •Bachelor’s degree preferred.

EXPERIENCE REQUIREMENTS

• •2+ years of experience in healthcare revenue cycle operations, with a focus on prior authorizations or patient financial clearance.
• •1+ year in a lead or supervisory role preferred.
• ••Familiarity with payer requirements, insurance benefits, and financial counseling practices.

REQUIRED TRAVEL

N/A

PHYSICAL DEMANDS

Carrying Weight Frequency

1-25 lbs. Frequent from 34% to 66%

26-50 lbs. Occasionally from 2% to 33%

Pushing/Pulling Frequency

1-25 lbs. Seldom, up to 2%

100 + lbs. Seldom, up to 2%

Lifting - Height, Weight Frequency

Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%

Floor to Chest, 26-50 lbs. Seldom: up to 2%

Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%