Financial Clearance Specialist (REMOTE)
Core
Assess and verify patient information for scheduled medical services, including demographics, financial status, and insurance eligibility to collect liabilities and resolve issues prior to service.
Role type
Healthcare revenue cycle financial clearance specialist
Builds
Patient financial liability estimates and collections for scheduled services
Domain
Healthcare / Revenue Cycle Management
Required skills
Patient demographic and financial data verification, Insurance eligibility verification, Co-pay and deductible collection, Pre-certification and referral processing, Accounts receivable management, Appointment rescheduling
Preferred skills
Associate degree or higher, Hospital revenue cycle experience, Knowledge of third-party collections and reimbursement, Proficiency with hospital computer systems
Technologies
Hospital computer systems, Business office applications
Responsibilities
Initiate contact with insurance companies to obtain eligibility and gather billing information; Accurately estimate patient financial liability; Receive and process patient payments; Ensure pre-certification authorization is in place; Refer patients to Financial Counselors or Business Office; Reschedule appointments based on patient request or financial circumstances; Enter financial clearance status notes in the system; Assess gaps in patient coverage to determine financial exposure.