Financial Clearance Specialist
Core
Ensure accurate and timely financial clearance for patient accounts by verifying insurance eligibility, investigating billing discrepancies, and ensuring complete claim submissions within a precision medicine and healthcare diagnostics environment.
Role type
Senior IC medical billing and revenue cycle specialist
Builds
Clean, compliant insurance claims for laboratory services and patient accounts
Domain
Healthcare / Medical Billing / Revenue Cycle Management
Required skills
Insurance eligibility verification, medical billing procedures, claim resolution, revenue cycle management systems, stakeholder communication, documentation accuracy
Preferred skills
Knowledge of medical necessity requirements, experience with billing discrepancies, problem-solving in fast-paced environments
Responsibilities
Verify insurance eligibility and benefit coverage for laboratory services, coordinate with internal teams, healthcare clinics, patients, and insurance providers to resolve coverage issues, maintain accurate documentation in revenue cycle management systems, resolve claim errors including missing information and coding issues, address medical necessity discrepancies to support compliant claim submissions