System Manager, Financial Clearance & Pre-Auth

Rush University Medical Center; Chicago (IL); On-site; USD 95,000 - 154,000; Full time

Job summary

Rush University Medical Center in Chicago is seeking a System Manager of Financial Clearance – Pre-Authorization Services to lead authorization operations across ambulatory clinics and hospital services. You will ensure prior authorizations align with payer policies and medical necessity, safeguarding patient care and revenue integrity.

The role requires deep Epic authorization workflow expertise, strong leadership, and collaboration with physicians and revenue cycle teams to reduce denials and

Qualifications

• Bachelor’s degree in healthcare administration or related field required.
• Equivalent combination of education and healthcare revenue cycle experience considered.
• Master’s degree preferred.

Responsibilities

• Provide leadership for financial clearance teams across outpatient and hospital lines.
• Ensure standardized workflows align with payer policies and medical necessity guidelines.
• Oversee authorization operations for imaging, surgery, and infusion services.
• Maintain knowledge of payer requirements and challenge barriers to approvals.
• Lead Epic authorization workflows and optimize automation tools.
• Collaborate with physicians and revenue cycle teams to minimize denials.

Skills

Payer policy

Epic workflows

Leadership

Revenue cycle

Education

Bachelor’s degree in healthcare administration

Master’s degree preferred

Tools

Epic

Job description

Rush University Medical Center in Chicago is seeking a System Manager of Financial Clearance – Pre-Authorization Services to lead authorization operations across ambulatory clinics and hospital services. You will ensure prior authorizations align with payer policies and medical necessity, safeguarding patient care and revenue integrity.

The role requires deep Epic authorization workflow expertise, strong leadership, and collaboration with physicians and revenue cycle teams to reduce denials and