Eligibility & Financial Assistance Manager

PF Concepts Inc.

$80K — $105K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years in healthcare revenue cycle or patient financial services
  • Previous supervisory or management experience essential
  • Familiarity with eligibility verification and Medicaid screening
  • Strong communication and client relationship skills
  • Ability to analyze KPIs and operational performance
  • Experience in coaching and team accountability
  • Knowledge of HIPAA and healthcare documentation standards

Responsibilities

  • Oversee eligibility verification and patient financial assistance workflows
  • Manage daily operations to meet service delivery standards
  • Monitor account inventories and performance trends
  • Review reports to identify improvement opportunities
  • Act as a client contact for operational updates
  • Address operational issues and patient concerns promptly
  • Supervise team productivity and compliance

Benefits

  • 401(k) with matching
  • Dental, Health, and Vision insurance
  • Paid time off
  • Paid training opportunities
  • Tuition discounts
Full Job Description
Job Type

Full-time

Description

Job Summary

The Eligibility & Financial Assistance Manager oversees the day-to-day operations and service delivery of assigned Eligibility & Financial Assistance Services for hospital client accounts. This role is responsible for managing team performance, workflow execution, quality, compliance, escalations, and operational follow-up.

This position also serves as a key onsite/client-facing contact, supporting the client relationship, addressing operational concerns, developing action plans, and helping guide the overall operational direction of the team. While the role does not require full end-to-end revenue cycle leadership experience, the ideal candidate should have a strong foundation in eligibility and financial assistance operations, along with the leadership presence and communication skills needed to manage client expectations and support team performance.

Responsibilities
  • Oversee eligibility verification, insurance discovery, Medicaid screening, charity care, and patient financial assistance workflows.
  • Manage daily account operations to ensure service delivery meets client expectations and operational goals.
  • Monitor work queues, account inventories, productivity, quality, and performance trends.
  • Review daily, weekly, and monthly reports to identify issues, trends, and opportunities for improvement.
  • Serve as an operational contact for the client, participate in status meetings, and provide updates on account performance.
  • Address operational issues, workflow barriers, escalations, and patient/account concerns in a timely and professional manner.
  • Supervise staff productivity, documentation quality, compliance, and adherence to hospital and company standards.
  • Provide coaching, feedback, training support, and performance follow-up to team members.
  • Partner with QA, Training, HR, Operations leadership, and client contacts to support workflow consistency and performance improvement.
  • Ensure compliance with hospital policies, Medicaid, Charity Care, HIPAA, and applicable regulatory requirements.
  • Support audits, reporting, onboarding, training readiness, and workflow changes as needed.

Benefits
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Vision insurance
  • Paid time off
  • Paid training
  • Tuition discount


Salary Range: $80,000-$105,000 annually

Position Type: Full-Time

Schedule: Monday - Friday 8:00 am - 4:30 pm

Requirements

Qualifications
  • At least 5 years of healthcare revenue cycle, patient financial services, eligibility, financial assistance, hospital, or clinic-related experience preferred.
  • Prior supervisory, team lead, or management experience required.
  • Experience with eligibility verification, Medicaid screening, Charity Care, insurance discovery, patient financial assistance, billing, denials, or AR follow-up preferred.
  • Strong client-facing communication and relationship management skills.
  • Ability to analyze reports, KPIs, productivity data, quality trends, and operational performance.
  • Experience coaching staff, addressing performance concerns, and supporting team accountability.
  • Knowledge of HIPAA, healthcare documentation standards, payer requirements, and hospital policies.
  • Experience with Epic, Cerner, Meditech, or similar healthcare systems preferred.
  • Proficiency with Microsoft Office, Excel, dashboards, reports, or similar tracking tools.
  • Strong organization, problem-solving, communication, and follow-up skills.
  • Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred; equivalent work experience may be considered.

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