Financial Clearance Specialist
New
J
JobgetherHealthcare Revenue Cycle
Candidates must reside in an approved U.S. state for remote employment: Arkansas, Arizona, Colorado, Florida, Hawaii, Idaho, Illinois, Indiana, Kansas, Michigan, Missouri, Montana, Minnesota, North Carolina, Ohio, Oregon, Tennessee, Texas, Virginia, or Washington.Full-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 2+ years of experience
- Required Skills
- Microsoft Office
Requirements
- 2+ years of experience in healthcare registration, financial clearance, patient financial services, or a comparable healthcare revenue-cycle environment.
- Strong knowledge of healthcare insurance coverage, eligibility verification, benefits, reimbursement rules, and payer processes.
- Strong mathematical, analytical, and problem-solving skills with exceptional attention to detail.
- Proficiency with Microsoft Office and the ability to quickly learn and navigate new software systems.
- Excellent written and verbal communication skills, with the ability to interact professionally with patients, providers, payers, and internal teams.
- Strong organizational and time-management skills, including the ability to prioritize multiple tasks and meet deadlines.
- Professionalism, tact, diplomacy, and strong interpersonal skills when handling sensitive financial and healthcare matters.
- Ability to work independently while contributing effectively within a collaborative team environment.
- Commitment to confidentiality, accuracy, compliance, and patient-centered service.
- An associate’s or bachelor’s degree is preferred.
Responsibilities
- Verify insurance eligibility, benefits, patient liability, and coverage requirements to support accurate financial clearance and minimize denials or penalties.
- Confirm benefits with insurance companies and employers, validate demographic information, and document insurance and payment details accurately.
- Review Medicare accounts and coordinate benefit status as needed.
- Identify and process pre-certification and referral requirements according to established protocols.
- Communicate with providers regarding out-of-network barriers and ensure relevant information is documented.
- Estimate patient financial responsibility before services and collect co-pays and other balances in accordance with cash-management policies.
- Review and resolve accounts placed on hold to support timely and accurate billing.
- Collaborate with authorization teams to obtain required payer authorizations and referrals.
- Maintain current knowledge of insurance plans, payer requirements, reimbursement practices, and regulatory changes.
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