Eligibility & Financial Assistance Manager

PF Concepts

Trenton (NJ)

On-site

USD 80,000 - 105,000

Full time

8 days ago
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Benefits offered by this job

401(k)
401(k) matching
Dental insurance
Health insurance
Vision insurance
Paid time off
Paid training
Tuition discount

Job summary

PF Concepts in Trenton, NJ seeks an Eligibility & Financial Assistance Manager to oversee day-to-day operations and service delivery for hospital client accounts, focusing on team performance, workflow execution, quality, compliance, escalations, and operational follow-up.

This onsite role also serves as a key client-facing contact, supporting the client relationship, addressing concerns, developing action plans, and guiding the overall operational direction of the team.

Qualifications

  • 5+ years in healthcare revenue cycle, patient financial services or related fields.
  • Experience with supervision or management.
  • Experience with eligibility, Medicaid screening, Charity Care, insurance discovery, patient financial assistance, billing, denials, AR follow-up preferred.
  • Strong client-facing communication and relationship management.
  • Ability to analyze reports, KPIs, productivity data, quality trends.
  • Knowledge of HIPAA and payer requirements.

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 goals.
  • Monitor work queues, account inventories, productivity, quality, and performance trends.
  • Review daily, weekly, and monthly reports to identify issues and opportunities for improvement.
  • Serve as an operational contact for the client and provide updates on account performance.
  • Address issues, barriers, escalations, and patient concerns in a timely and professional manner.
  • Supervise staff productivity, documentation quality, compliance, and adherence to standards.
  • Provide coaching, feedback, training support, and performance follow-up.
  • Partner with QA, Training, HR, Operations leadership, and client contacts to support workflow consistency.
  • Ensure compliance with hospital policies, Medicaid, Charity Care, HIPAA, and regulatory requirements.
  • Support audits, reporting, onboarding, training readiness, and workflow changes as needed.

Skills

Healthcare operations leadership
Client-facing communication
KPI and report analysis
Mentoring / coaching staff
Regulatory compliance (HIPAA)

Education

Bachelor’s degree in Healthcare Administration or related field

Tools

Epic
Cerner
Meditech
Excel
Dashboards / tracking tools

Job description

Description

Job Summary

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.

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
  • Vision insurance
  • Paid time off
  • Paid training
  • Tuition discount


Salary Range: $80,000–$105,000 annually

Position Type: Full-Time

Schedule: Monday - Friday 8:00 am - 4:30 pm

Requirements
Qualifications
  • At least 5 years of healthcare revenue cycle, patient financial services, eligibility, financial assistance, hospital, or clinic-related experience preferred.
  • Prior supervisory, team lead, or management experience required.
  • Experience with eligibility verification, Medicaid screening, Charity Care, insurance discovery, patient financial assistance, billing, denials, or AR follow-up preferred.
  • 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.
  • Experience with Epic, Cerner, Meditech, or similar healthcare systems preferred.
  • Proficiency with Microsoft Office, Excel, dashboards, reports, or similar tracking tools.
  • Strong organization, problem-solving, communication, and follow-up skills.
  • Bachelor’s degree in Healthcare Administration, Business Administration, or related field preferred; equivalent work experience may be considered.
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