Stanford Health Care is hiring a Manager - Patient Financial Clearance (Remote)

Stanford Health Care is hiring a Manager - Patient Financial Clearance (Remote) to lead and optimize the front-end patient financial clearance process. In this role, you will be responsible for planning, organizing, and directing all functions related to pre-registration, payer authorization, and financial counseling to ensure efficient revenue cycle performance and data quality across the enterprise.

What You'll Do

• Ensure financial clearance functions are performed efficiently throughout Patient Access services, including maintaining an adequately trained staff for inpatient and outpatient settings.
• Oversee pre-registration tasks such as insurance verification, securing payer authorizations, and collecting payments to financially secure accounts.
• Provide a consistent financial clearance service approach for patients and families from initial contact through charging.
• Maintain complete records of policies and procedures, ensure staff competency, and provide effective leadership, training, and coaching.
• Design, develop, and monitor performance improvement processes for quality, accuracy, productivity, and timeliness.
• Stay current on all regulatory and accrediting agency requirements, including Federal and State regulations and Joint Commission standards.
• Identify revenue cycle issues and lead root cause analysis and problem resolution.
• Design and implement plans to meet departmental goals and support the Director in strategy development, budgeting, and reporting.

What We're Looking For

• A Bachelor’s degree in accounting, finance, business administration, healthcare administration, or a related field (or equivalent combination of education/experience).
• Five (5) years of progressively responsible experience in revenue cycle management (Pre-Registration, Authorization, Financial Counseling, Billing) in a healthcare setting.
• Knowledge of Hospital Policies, HIPAA regulations, and Governmental/non-governmental requirements for patient financial clearance.
• Knowledge of Epic Registration and billing systems, third-party payer rules, ICD-9/CPT coding, and medical terminology.
• Strong problem-solving, organizational, and decision-making abilities with the capacity to prioritize, multi-task, and meet deadlines.
• Effective interpersonal and communication skills, with the ability to work independently, facilitate groups, and maintain effective working relationships.
• Ability to apply Lean/project management protocols, manage multiple projects, and analyze data to implement countermeasures.
• Proficiency in Microsoft Excel, Word, and Project and the ability to analyze and present revenue write-off data.

Technical Stack

• Epic (Registration and billing systems)
• Microsoft Excel
• Microsoft Word
• Microsoft Project

Team & Environment

This role reports directly to a Director.

Benefits & Compensation

• Compensation is generally starting at $55.85 - $74.00 per hour.

Work Mode

This is a fully remote position.

Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above.