Eligibility & Financial Assistance Manager
About The Position
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.
Requirements
- Prior supervisory, team lead, or management experience required.
- 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.
- Proficiency with Microsoft Office, Excel, dashboards, reports, or similar tracking tools.
- Strong organization, problem-solving, communication, and follow-up skills.
Nice To Haves
- At least 5 years of healthcare revenue cycle, patient financial services, eligibility, financial assistance, hospital, or clinic-related experience preferred.
- Experience with eligibility verification, Medicaid screening, Charity Care, insurance discovery, patient financial assistance, billing, denials, or AR follow-up preferred.
- Experience with Epic, Cerner, Meditech, or similar healthcare systems preferred.
- Bachelor’s degree in Healthcare Administration, Business Administration, or related field preferred; equivalent work experience may be considered.
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
- Paid time off
- Paid training
- Tuition reimbursement
- Vision insurance
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What This Job Offers
Job Type
Full-time
Career Level
Manager
