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 details. The role collects copayments, deductibles, coinsurance, and down payments; provides service estimates when appropriate; and processes payments for current and past balances. Its focus is to collect patient liabilities and resolve insurance or financial issues before services are rendered. The Specialist may reschedule appointments under the guidance of a department leader and serves as a front line for customer service, pre-registration, and access to care for scheduled services.
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.
- Prior experience in a healthcare environment.
Nice To Haves
- Business concentration in high school or equivalent education.
- 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 obtain eligibility information, gather accurate patient billing information, and pursue collections on outstanding accounts receivable.
- Estimate patient financial liability accurately using demographic and financial information, and explain liability and its variables to patients.
- Receive and process patient payments.
- Ensure pre-certification authorization and/or referrals are 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 in the system about financial clearance status and related communications.
- Understand and comply with 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 circumstances 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; eligibility will be confirmed by a Recruitment Team member during the interview process.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
