Financial Clearance Specialist

Job Summary

Ensuring patients are financially cleared prior to receiving services, the full-time Financial Clearance Specialist will verify insurance eligibility, obtain prior authorizations, and maintain accurate documentation while working remotely without weekends, evenings, or holidays.

Key responsibilities

• Verify insurance coverage and benefit information using payer portals and direct communication with insurers
• Submit prior authorization requests for services and monitor pending authorizations to avoid delays in patient care
• Communicate with patients regarding their insurance coverage and financial responsibilities as needed

Required qualifications

• High School Diploma or equivalent required; Associate's degree in healthcare, business, or related field preferred
• 1-3 years of experience in insurance verification, medical authorizations, or revenue cycle operations
• Knowledge of commercial, Medicare, Medicaid, and managed care insurance plans
• Proficiency in EHR systems, payer portals, and Microsoft Office
• Strong attention to detail and organizational skills