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ACES (Comprehensive Educational Services) · 1 day ago

Financial Clearance Manager

San Diego, CA

Full-time

Onsite

Mid, Senior Level

3+ years exp

ACES is dedicated to improving standards in autism treatment and is seeking a Financial Clearance Manager. This role involves overseeing front-end revenue cycle functions related to patient financial clearance and managing a high-performing team to ensure timely and accurate service delivery.

Education

Responsibilities

Lead, coach, and mentor a team of specialists responsible for VOB, eligibility checks, authorization/reauthorization management, and payor transitions

Set performance goals, conduct regular check-ins and reviews, and provide training to ensure accuracy, efficiency, and compliance

Foster a culture of accountability, customer service, and operational excellence

Develop and refine workflows and SOPs to support timely insurance verification and authorization processing

Identify and implement process improvements that reduce errors, improve turnaround times, and enhance payer compliance

Monitor daily volumes, queues, and productivity metrics to ensure timely completion of all tasks

Partner with scheduling, intake, clinical operations, and billing teams to ensure seamless handoffs and support continuity of care

Collaborate with payor relations and credentialing teams to stay ahead of policy changes and network updates that affect authorization workflows

Ensure compliance with HIPAA, payer-specific guidelines, and internal policies

Maintain accurate and complete documentation in systems of record to support downstream billing and appeals

Oversee processes for managing changes in patient insurance, including transitions between commercial, Medicaid, regional centers, and other payer types

Ensure seamless coverage transitions to avoid lapses in care or reimbursement delays

Qualification

Healthcare revenue cycle operationsVOBEligibility verificationInsurance authorizations managementEMR/EHR systems proficiencyLeadershipTeam managementBilingual capabilitiesInterpersonal skillsCommunication skillsProblem-solving mindsetAttention to detail