Financial Clearance Specialist

Job Summary

To ensure patients are financially cleared prior to receiving services, the full-time Financial Clearance Specialist will verify insurance eligibility, obtain prior authorizations, and collaborate with clinical and billing teams in a fully remote environment.

Key responsibilities

• Verify insurance coverage and benefit information through various channels
• Submit prior authorization requests and monitor pending authorizations to ensure timely patient care
• Communicate with patients regarding their insurance coverage and financial responsibilities

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 and payer portals
• Strong attention to detail and organizational skills