Pennsylvania Medicine

902116 Manager Financial Clearance

Pennsylvania Medicine$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in related field or equivalent experience in revenue cycle management.
  • 3+ years of experience in a Revenue Cycle Setting or equivalent.
  • 10+ years of experience in a Revenue Cycle Setting with a High School Diploma/GED as an alternative qualification.
  • 3+ years of supervisory or management experience preferred.
  • Strong analytical, operational, and problem-solving skills.

Responsibilities

  • Direct daily operations for Financial Clearance ensuring compliance and accuracy in eligibility and authorization processes.
  • Develop and mentor staff members, focusing on succession planning and performance management.
  • Monitor and resolve complex operational issues within Financial Clearance functions.
  • Create and enhance department workflows and key performance indicators (KPIs).
  • Oversee staffing, resource allocation, and workload balancing to meet operational demands.
  • Lead initiatives aimed at improving processes and standardizing operations across financial clearance.
  • Collaborate with various teams to ensure effective communication and operational readiness.

Benefits

  • Flexible working hours based on operational needs.
  • Opportunity for continuous learning and professional development.
  • Collaborative work environment within a leading healthcare system.
  • Comprehensive support for resource allocation and fiscal responsibility.
Full Job Description
Job Title: Manager Financial Clearance
Department: Financial Clearance
Entity: Clinical Practices of the University of Pennsylvania (CPUP)
Location: Penn Medicine Bala Cynwyd- 2 Bala Plaza
Hours: M-F, 8-4:30 with flexibility in hours based on operational need

Summary:
  • The Manager, Financial Clearance is responsible for directing and coordinating all daily operational activities within the Financial Clearance function. This role ensures that patients receive timely and accurate verification of insurance benefits, authorization management, and financial risk assessment services. The Manager oversees end-to-end clearance processes that directly influence organizational revenue integrity, service readiness, and the overall patient experience.
  • As a key leader within the Revenue Cycle space at Penn Medicine, the Manager provides operational oversight of financial clearance workflows, ensures adherence to payer requirements, and implements strategies that reduce avoidable denials and improve first-pass claim success. The role applies strong analytical, operational, and problem-solving skills to monitor performance, identify root causes of operational barriers, and drive sustainable improvements in accuracy, efficiency, and service delivery.
  • This position is accountable for managing staff performance, driving continuous improvement, and maintaining high levels of productivity, responsiveness, and customer service. The Manager collaborates with scheduling, clinical, utilization management, patient access, billing, and payer contracting teams to ensure seamless coordination of care and financial clearance readiness. Additionally, the Manager partners with operational and financial leaders to support revenue optimization efforts, enhance key performance indicators, and ensure appropriate stewardship of resources.

Responsibilities:
  • Provides overall leadership and direction for daily Financial Clearance operations, ensuring timely, accurate, and compliant execution of eligibility, benefits review, prior authorization, and medical necessity workflows.
  • Manages and develops supervisory and lead-level staff, providing coaching, mentoring, performance oversight, and succession planning to build a strong leadership pipeline.
  • Monitors operational performance across all Financial Clearance teams, resolving complex or high-risk issues and ensuring alignment with organizational priorities and service expectations.
  • Develops, maintains, and continuously improves department workflows, dashboards, productivity models, and key performance indicators (KPIs).
  • Oversees staffing models, workload balancing, productivity expectations, and resource allocation to support operational needs.
  • Leads process-improvement initiatives, workflow redesign, and operational standardization across financial clearance functions.
  • Assist system-wide standardization of financial clearance workflows, documentation requirements, and operational practices across all entities.
  • Ensures financial clearance processes support revenue goals, including reduction of authorization-related and eligibility-related denials and improvement of first-pass claim yield.
  • Collaborates with Denials Management to address recurring issues, implement corrective actions, and prevent downstream billing disruptions.
  • Monitors and proactively addresses issues related to coverage, authorization, and medical necessity.
  • Collaborates with scheduling, clinical, patient access, utilization management, billing, contracting, and other operational leaders to ensure seamless clearance readiness and effective communication.
  • Supports operational readiness for new programs, services, locations, or workflow changes that impact financial clearance.
  • Assists in developing the annual operating budget and manages performance to budget through effective resource planning and productivity oversight.
  • Monitors expenditures, ensures appropriate fiscal responsibility, and supports cost control strategies while maintaining service quality.
  • Promotes a culture of accountability, teamwork, transparency, and patient-centered service within the Financial Clearance division.
  • Ensures employees understand organizational goals, performance expectations, and their individual contributions to patient access and revenue cycle excellence.
  • Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.
  • Other duties as assigned to support the unit, department, entity, and health system organization.
Education or Equivalent Experience:
  • Bachelor of Arts or Science AND 3+ years Revenue Cycle Setting (Required)
  • OR
  • H.S. Diploma/GED AND 10+ years Revenue Cycle Setting(Required)
  • 3+ years Supervisory/Management role preferred

About Pennsylvania Medicine

The University of Pennsylvania is a private Ivy League research university in Philadelphia. It is the fourth-oldest institution of higher education in the United States and is ranked among the highest-regarded universities by numerous organizations and scholars. While the university dates its founding to 1740, it was created by Benjamin Franklin and leading Philadelphia citizens in 1749 . The University has four undergraduate schools as well as twelve graduate and professional schools. Schools enrolling undergraduates include the College of Arts and Sciences, the School of Engineering and Applied Science, the Wharton School, and the School of Nursing. Among its highly ranked graduate schools are its law school, whose first professor wrote the first draft of the United States Constitution, its medical school, the first in North America, and Wharton, the first collegiate business school. Penn's endowment is US$20.7 billion, putting it amongst the wealthiest academic institutions in the world, and its 2019 research budget was $1.02 billion. Penn was one of nine colonial colleges chartered before the U.S. Declaration of Independence when Benjamin Franklin, the university's founder and first president, advocated for an educational institution that trained leaders in academia, commerce, and public service. The campus, in the University City neighborhood of Philadelphia, is centered around College Hall, and notable landmarks are Houston Hall, the first modern "student union", and Franklin Field, the first double-decker college football stadium. Penn also is the home of the Morris Arboretum, the official arboretum of the Commonwealth of Pennsylvania, which is located 15 miles northwest of the campus, in the Chestnut Hill section of Philadelphia. The university's athletics program, the Quakers, fields varsity teams in 33 sports as a member of the NCAA Division I Ivy League conference.
Learn more about Pennsylvania Medicine

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