Financial Clearance Specialist

Job Summary

Working remotely on a full-time basis, the Financial Clearance Specialist will manage insurance verification, obtain prior authorizations, and maintain communication with patients and payers to ensure reimbursement for scheduled services related to transplant, surgical, chemotherapy, and radiation therapy patients.

Key responsibilities

• Verifies patients' insurance and benefits information for various medical services
• Obtains prior authorizations from third-party payers in accordance with their requirements
• Maintains professional communication with patients and payer representatives to ensure a positive experience

Required qualifications

• High school diploma or GED required; Bachelor's Degree preferred
• Three to four years of experience in insurance authorization 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
• Proficient understanding of third-party payer regulations and medical necessity requirements for specific service lines