Financial Clearance Manager

Join VitalCaring – Where Your Leadership Changes Lives Are you a clinical leader who believes exceptional care starts with empowered teams and a strong culture? At VitalCaring, we’re more than a home health provider - we’re a team driven by purpose, compassion, and a commitment to delivering meaningful care in the homes of the patients we serve. As a Clinical Home Health Branch Director, you’ll lead with heart and accountability - shaping both patient outcomes and the future of your team. Who You Are The Financial Clearance Manager is responsible for leading and optimizing front-end revenue cycle operations related to insurance verification, eligibility, prior authorization, reauthorization, and financial clearance for home health services. This role manages a team of authorization and verification specialists while driving process improvement, workflow standardization, operational efficiency, and payer compliance. The manager serves as a key liaison between intake, clinical operations, scheduling, billing, and payer partners to ensure timely authorization approvals, minimize denials, and support continuity of patient care. Strong experience with Homecare Homebase (HCHB) is required/preferred. What You’ll Do Leadership & Team Management

• Lead, mentor, and develop a team responsible for insurance verification, benefit eligibility, prior authorizations, reauthorizations, and payer follow-up.
• Establish productivity standards, KPIs, and quality metrics for staff performance.
• Conduct coaching sessions, audits, and performance evaluations.
• Develop training programs and SOPs to improve team accuracy and efficiency.
• Foster a culture of accountability, collaboration, customer service, and continuous improvement.

Revenue Cycle Operations

• Oversee daily financial clearance operations to ensure timely and accurate processing of referrals and authorizations.
• Monitor authorization turnaround times, denial trends, eligibility issues, and work queue performance.
• Ensure all payer requirements are met prior to start of care and ongoing visits.
• Manage escalations related to authorization delays, payer disputes, and urgent patient care needs.
• Partner with intake, scheduling, clinical, and billing teams to support clean claims and reduce reimbursement delays.

Process Improvement & Workflow Optimization

• Analyze workflows and identify opportunities for automation, standardization, and operational improvement.
• Implement process redesign initiatives to improve authorization accuracy and reduce denials.
• Create dashboards and reporting tools to monitor departmental KPIs and payer trends.
• Support centralized revenue cycle initiatives and scalable workflow solutions across multiple branches or markets.
• Collaborate with IT and operational leadership to optimize Homecare Homebase workflows and reporting functionality.

Compliance & Quality Assurance

• Ensure compliance with Medicare, Medicaid, managed care, and commercial payer requirements.
• Maintain current knowledge of payer authorization guidelines, home health regulations, and revenue cycle best practices.
• Conduct audits to ensure documentation accuracy and authorization compliance.
• Support internal and external audits related to authorization and financial clearance processes.
• Ensure HIPAA compliance and adherence to organizational policies.

Why VitalCaring?

• Lead with Purpose – Your leadership directly impacts patients, families, and clinicians
• Empowered Leadership – Autonomy to lead your team while supported by strong regional partners
• Culture of Caring – Work with a team that lives our values: trustworthy, capable, compassionate, proactive, and called
• Growth & Stability – Be part of a rapidly growing organization committed to doing things the right way

What You Bring

• 5+ years of healthcare revenue cycle, patient access, or financial clearance experience.
• 2+ years of leadership or supervisory experience managing insurance verification and authorization teams.
• Strong understanding of Medicare, Medicaid, Medicare Advantage, and commercial payer authorization requirements.
• Direct experience with Homecare Homebase (HCHB) strongly preferred.
• Experience in home health, hospice, or post-acute care preferred.
• Knowledge of denial prevention strategies and front-end revenue cycle operations.
• Strong analytical, organizational, and communication skills.
• Proficiency with EMR/EHR systems, payer portals, and reporting tools.
• Active RN or Therapist license

Preferred Skills

• Workflow redesign and process improvement expertise.
• KPI and productivity management.
• Denial prevention and root cause analysis.
• Team development and coaching.
• Cross-functional department collaboration.
• Authorization and eligibility management.
• Revenue cycle reporting and analytics.
• Multi-site or centralized operations experience.

Sample KPIs

• Authorization turnaround time
• Verification accuracy rate and timely turnaround times
• Initial denial rate
• Start-of-care delays due to authorization or Eligibility
• Productivity per FTE
• Reauthorization timeliness
• Payer response turnaround
• Clean claim rate

Make an Impact That Matters At VitalCaring, every decision, every interaction, and every patient matters. If you’re ready to lead a team where care, accountability, and growth come together, we’d love to connect.

Benefits

That Support You Health & Wellness Medical, Dental, and Vision coverage Pharmacy benefits Virtual care and mental health support Flexible Spending Accounts (FSA) and Health Savings Account (HSA) Supplemental health and life insurance Financial & Protection 401(k) with company match Employee referral program Prepaid legal services Identity theft protection Work-Life Balance & Perks Generous paid time off Pet insurance Tuition and continuing education reimbursement All employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic. Candidates are evaluated based on job-related qualifications, skills, and business needs.