Financial Clearance Specialist

About the Role

Day-to-day, the Financial Clearance Specialist will be working in a fast-paced environment, responding to patient inquiries, and resolving any issues that may arise. This will require strong communication skills, both written and verbal, as well as the ability to work effectively in a team environment. The Financial Clearance Specialist will also be responsible for staying up-to-date with the latest developments in the healthcare industry, including changes to insurance policies and regulatory requirements.

The Financial Clearance Specialist will be working as part of a larger team, reporting to a Team Lead or Operations Coordinator. This will involve collaborating with other healthcare professionals, including nurses, doctors, and administrative staff, to ensure that patients receive seamless care.

What You Will Do

• Respond to patient inquiries and resolve any issues that may arise
• Maintain accurate patient records, including demographic information and insurance details
• Communicate with insurance providers to facilitate pre-authorization of diagnostic exams and treatments
• Ensure that all necessary paperwork is completed in a timely manner
• Stay up-to-date with the latest developments in the healthcare industry, including changes to insurance policies and regulatory requirements
• Collaborate with other healthcare professionals to ensure that patients receive seamless care
• Maintain confidentiality of patient information in accordance with HIPAA regulations
• Data entry accuracy is imperative in this position
• Monitor Referral In-Basket in EPIC to ensure work is consistently completed in a timely manner

What We Are Looking For

• Strong communication skills, both written and verbal
• Ability to work effectively in a team environment
• Knowledge of electronic medical records and insurance billing systems
• Experience working in a healthcare environment, preferably in a financial clearance role
• Strong analytical and problem-solving skills
• Ability to stay organized and manage multiple tasks simultaneously
• Knowledge of Medicare/Medicaid rules and regulations, and managed care products
• Familiarity with CPT and ICD-10 coding
• High school diploma or equivalent required, degree in a related field preferred

Nice to Have

• Experience with Excel and other Microsoft Office applications
• Certification in medical billing or coding
• Bilingual or multilingual skills

Benefits and Perks

• Competitive salary and benefits package
• Opportunity to work remotely and have a better work-life balance
• Collaborative and dynamic work environment
• Professional development and growth opportunities
• Access to the latest technology and tools
• Flexible scheduling and remote work options
• Comprehensive health insurance and retirement plans

• Make sure to highlight your experience working with electronic medical records and insurance billing systems in your application
• Showcase your analytical and problem-solving skills by providing examples of times when you had to troubleshoot issues or resolve complex problems
• Be prepared to discuss your knowledge of Medicare/Medicaid rules and regulations, and managed care products in an interview
• Consider obtaining certification in medical billing or coding to stand out from other candidates
• Don't be afraid to ask questions during the interview process, such as what a typical day looks like in the role or what opportunities there are for professional development
• Be prepared to provide examples of times when you had to communicate complex information to patients or other healthcare professionals