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 in a fully remote environment.

Key responsibilities

• Verify insurance coverage and benefit information through various channels, including payer portals and direct communication with insurers
• Submit prior authorization requests for services and monitor pending authorizations to ensure timely patient care
• Collaborate with clinical and scheduling teams to address coverage issues and communicate financial responsibilities to patients

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