Financial Clearance Specialist - Remote
About The Position
The Financial Clearance Specialist assesses and verifies patient information for scheduled medical services, including demographic, financial, and insurance information. The role collects copayments, deductibles, coinsurance, deposits, and other patient liabilities; provides service estimates when appropriate; and receives and processes payments for current and past balances. The focus is to collect patient liabilities and resolve insurance or financial issues before services are rendered. The position also serves as a front line for customer service, pre-registration, and access to scheduled care. The specialist works Monday through Friday from 8:00 a.m. to 4:30 p.m., on a full-time 40-hour schedule. The position is remote. The hiring range is $20.94–$29.27, with final compensation dependent on scheduled hours, experience, skills, qualifications, and internal equity. A signing bonus may be available; eligibility is confirmed during the interview process. This is a non-exempt, union-represented position.
Requirements
- High school diploma or GED.
- At least four years of experience in a business office setting; hospital revenue cycle, physician office, or collection agency experience is preferred within this requirement.
- Prior experience in a healthcare environment.
Nice To Haves
- Business concentration in high school or GED studies.
- Associate degree or higher.
- Working knowledge of personal computers and business office applications.
- Familiarity with hospital computer systems.
- Knowledge of third-party collections and reimbursement.
Responsibilities
- Contact insurance companies to verify eligibility, gather accurate patient billing information, and pursue collections on outstanding accounts receivable.
- Estimate patient financial liability by gathering accurate demographic and financial information, and explain the liability and relevant variables to patients.
- Receive and process patient payments.
- Ensure required pre-certification, authorization, or referral is in place before services are rendered.
- Refer patients to Financial Counselors or the Business Office as appropriate to their needs.
- Reschedule appointments at a patient's request or, with department leader guidance, when financial circumstances require postponement.
- Enter clear, concise notes about financial clearance status and communications in the system.
- Know and follow job-related policies and procedures, consistently applying the Financial Clearance Policy to patient cases.
- Assess gaps in patient coverage to determine financial exposure before services are rendered.
- Respond flexibly to changing situations and reprioritize work as needed.
- Perform other duties as assigned or directed to support smooth department or unit operations.
Benefits
- A signing bonus may be available, subject to eligibility confirmation during the interview process.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
