Financial Clearance Manager

Site: Wentworth-Douglass Hospital

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Responsible for managing financial clearance processes to ensure patients are financially cleared for services. Oversees pre-registration, insurance verification, and financial counseling functions to optimize revenue cycle performance and enhance patient experience.

Does this position require Patient Care? No

Qualifications

Essential Functions:

• Leads the financial clearance team, including hiring, training, and evaluating staff performance.
• Oversees pre-registration and insurance verification processes to ensure timely and accurate patient information.
• Implements and monitors policies and procedures to maintain compliance with regulatory and payer requirements.
• Collaborates with clinical and administrative teams to resolve financial clearance issues that impact patient care or billing.
• Analyzes financial clearance metrics to identify trends and opportunities for process improvements.
• Ensures patients receive clear and accurate information regarding their financial responsibilities and available resources.
• Manages financial counseling services to assist patients with insurance enrollment and payment options.
• Develops and delivers training programs to enhance staff knowledge of insurance guidelines and billing practices.

Education

Bachelor's Degree Healthcare Administration required or Bachelor's Degree Business Administration required or Bachelor's Degree Related Field of Study required

Can this role accept experience in lieu of a degree?

Yes

Experience

Experience in revenue cycle operations or financial clearance 5-7 years required and Experience in a management role 2-3 years required

Knowledge, Skills and Abilities

• Strong knowledge of insurance verification, billing practices, and healthcare regulations.
• Strong leadership and team management abilities.
• Proficiency in revenue cycle management and financial clearance processes.
• Excellent analytical skills to assess and improve operational performance.
• Exceptional communication and interpersonal skills for engaging with staff and patients.
• Ability to manage multiple priorities and work in a fast-paced healthcare environment.
• Attention to detail and a commitment to accuracy in financial processes.

Additional Job Details (if applicable)

Remote Type

Hybrid

Work Location

121 Broadway

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement:

Wentworth-Douglass Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.