Connecticut Licensed Financial Specialist

Job Summary

To support the Financial Clearance Center, the full-time Connecticut Licensed Financial Specialist will ensure payer readiness for reimbursement by verifying insurance benefits and authorizations for transplant, surgical, chemotherapy, and radiation therapy patients while working remotely.

Key responsibilities

• Verifies patients' insurance and benefits information, ensuring compliance with healthcare regulations
• Obtains prior authorizations and communicates coverage information to patients and clinicians
• Maintains accurate records of authorizations and identifies opportunities for workflow improvements

Required qualifications

• High school graduate or GED required; Bachelor's Degree preferred
• Three to four years of experience in insurance authorization/verification or revenue cycle functions preferred
• CRCS or equivalent certification for Access Professionals required within 18 months of hire
• Certified Medical Assistant (CMS), Licensed Practical Nurse (LPN), or Certified Professional Coder (CPC) status preferred
• Advanced knowledge of code sets and third-party payer regulations for relevant service lines