Financial Clearance Supervisor

Solaris Health Holdings LLC•Annapolis, MO

About The Position

The Supervisor of Financial Clearance oversees the daily operations of a team of financial clearance specialists responsible for prior authorizations and patient estimates. The role ensures staff follow established workflows, meet performance goals, and provide timely, accurate service to support patient access and reduce organizational financial risk. The supervisor works under the direction of the Manager of Financial Clearance and serves as the first line of support for operational questions, issue resolution, and performance coaching. The role does not oversee in-office dispensing authorizations, external pharmacy authorizations (such as CVS or Walgreens), or HMO product PCP referrals. Duties may vary based on affiliate or location needs and state requirements. The position also requires adherence to ethical standards, applicable laws and regulations, Solaris Health and affiliated practice policies, HIPAA confidentiality requirements, reporting suspected concerns or violations, and completing annual compliance training.

Requirements

  • Associate’s degree or equivalent work experience in healthcare or business administration required.
  • At least 2 years of experience in healthcare revenue cycle operations, focused on prior authorizations or patient financial clearance.
  • Strong interpersonal and communication skills.
  • Ability to coach and motivate team members.
  • Detail-oriented with strong organizational skills.
  • Proficiency in electronic health record systems, payer portals, and Microsoft Office.
  • Ability to manage time effectively and adapt in a fast-paced environment.
  • Professional verbal and written communication skills.
  • Strong analytical and problem-solving skills.
  • Comply with HIPAA regulations for patient confidentiality.
  • Comply with all organizational health and safety policies.

Nice To Haves

  • Bachelor’s degree preferred.
  • At least 1 year in a lead or supervisory role preferred.
  • Familiarity with payer requirements, insurance benefits, and financial counseling practices.

Responsibilities

  • Supervise day-to-day activities of a team responsible for prior authorizations and patient estimates.
  • Monitor individual and team productivity, quality, and turnaround times.
  • Provide real-time support, guidance, and coaching to staff.
  • Assist with onboarding, training, and ongoing development of team members.
  • Foster a positive and collaborative team environment.
  • Ensure timely and accurate submission of prior authorization requests and eligibility checks.
  • Track pending authorizations and follow up to avoid appointment delays.
  • Support staff in resolving payer-related issues or denials.
  • Escalate complex or urgent cases to management when needed.
  • Collaborate with the A/R Team to identify common denial trends and prevent future authorization denials.
  • Oversee generation of accurate patient estimates based on insurance coverage and service types.
  • Ensure staff use approved tools and scripts for patient financial conversations.
  • Monitor and support team efforts to assist with pre-service collections.
  • Ensure team members follow standardized workflows and documentation protocols.
  • Identify workflow challenges and suggest improvements to the manager.
  • Assist with implementation of new tools or process changes as directed.
  • Participate in daily huddles and operational meetings as needed.
  • Provide the Manager with updates on team performance, barriers, and training needs.
  • Document and report recurring issues or payer trends affecting performance.
  • Perform other position-related duties as assigned.
  • Adhere to ethical standards and applicable laws, regulations, and organizational policies; protect patient health information under HIPAA; report suspected concerns or violations; and complete annual compliance training.
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