About The Position
The Patient Access Representative focused on Financial Clearance and Authorizations works behind the scenes and directly with patients to ensure care is approved, covered, and financially clear before services are delivered. The role helps prevent delays, denials, and unexpected costs, supporting a smoother experience for patients and care teams. It involves communicating with clarity, accuracy, and empathy about insurance, authorizations, and financial responsibility.
Requirements
- High school diploma/GED or equivalent, or two years of applicable experience in lieu of education.
- Two years of customer service and/or healthcare experience.
- Strong customer service and communication skills.
- Attention to detail and comfort working with insurance and authorization processes.
- Ability to explain financial and coverage information clearly and confidently.
Responsibilities
- Verify insurance eligibility and benefits for scheduled and unscheduled services.
- Obtain prior authorizations and referrals as required by payers.
- Review patient accounts for financial clearance and resolve issues before services are rendered.
- Communicate with insurance companies, providers, and internal teams to secure approvals.
- Explain coverage, estimates, and financial responsibility to patients.
- Assist with payment arrangements and financial assistance referrals when appropriate.
- Maintain accurate documentation and protect patient confidentiality.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
