Senior Manager of Financial Clearance

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

The Senior Manager of Financial Clearance is responsible for overseeing day-to-day operations related to insurance verification, prior authorization, financial counseling, and pre-service collections within a multi-specialty physician group. This role ensures timely and accurate financial clearance processes that support an efficient and patient-friendly experience. The Manager works closely with departmental staff, clinical teams, and revenue cycle leadership to maintain compliance, implement process improvements, and meet performance goals.

Key Responsibilities:

Operational Oversight

• Supervise and coordinate daily activities of the financial clearance team, including insurance verification, pre-authorization, referrals, and patient estimates.
• Ensure staff are trained on current payer policies, financial clearance protocols, and internal procedures.
• Monitor team productivity and quality, ensuring timely processing of authorizations and eligibility checks.

Process Improvement & Efficiency

• Identify and implement process improvements to enhance financial clearance workflows and reduce denials.
• Collaborate with clinical and administrative teams to address issues impacting patient access and financial clearance.
• Support the adoption and use of automation tools and EHR features (e.g., Epic, Athena) to streamline operations.

Patient Communication & Support

• Oversee financial counseling processes to ensure patients receive accurate and timely cost estimates.
• Assist with resolving complex patient inquiries or escalations related to insurance or pre-service billing.
• Promote a positive patient experience by ensuring staff deliver clear, empathetic, and informative financial communications.

Compliance & Quality Assurance

• Ensure compliance with payer guidelines, HIPAA regulations, and internal policies.
• Conduct audits and reviews to verify accuracy of insurance verification, authorization tracking, and documentation.
• Stay updated on payer and regulatory changes, communicating updates to staff …