Financial Clearance Specialist in United States at Jobgether

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Financial Clearance Specialist in United States.

This role plays a critical part in ensuring patients can access care smoothly by verifying insurance coverage, securing prior authorizations, and coordinating financial and administrative requirements before services are delivered. You will work at the intersection of patients, providers, and insurance payers, helping to remove financial and administrative barriers to care. The position requires strong attention to detail and the ability to manage sensitive information accurately and confidentially. You will handle eligibility verification, authorization requests, and registration-related tasks in a fast-paced healthcare environment. By ensuring compliance with payer requirements and facilitating timely approvals, you directly contribute to efficient care delivery and patient satisfaction. This is a collaborative role where communication, precision, and empathy are essential.

In this role, you will be responsible for ensuring accurate financial clearance and authorization processes that enable timely access to medical services.

• Determine the need for payer notification and prior authorization for scheduled procedures, tests, and admissions
• Investigate patient insurance and financial information to identify authorization requirements and initiate approvals when needed
• Serve as a liaison between patients, physicians, hospital departments, and insurance providers to coordinate financial and coverage details
• Perform patient registration activities, including eligibility verification and real-time insurance validation
• Ensure accurate interpretation and application of payer policies, benefits, and regulatory requirements
• Maintain detailed documentation and support efficient workflow across clinical and administrative teams

The ideal candidate brings strong healthcare administrative experience, attention to detail, and solid knowledge of insurance and billing processes.

• High school diploma or GED required
• Minimum of 3 years of experience in a physician’s office, clinic, hospital business office, or similar healthcare setting
• Strong understanding of insurance authorization processes and third-party payer requirements (governmental and private)
• Working knowledge of ICD coding, CPT coding, and medical terminology
• Excellent communication skills with the ability to interact effectively with patients, providers, and insurance representatives
• Strong organizational skills, accuracy, and ability to manage multiple tasks in a fast-paced environment
• High level of professionalism, discretion, and sensitivity when handling confidential patient information

• Competitive compensation package
• Medical, dental, and vision insurance with coverage starting on day one
• Retirement savings plan with employer match from day one
• Generous paid time off and holiday programs
• Employee recognition and rewards initiatives
• Tuition assistance and professional development reimbursement opportunities
• Relocation assistance (eligibility restrictions may apply)
• Access to discounted education programs in nursing and healthcare fields
• DailyPay option allowing early access to earned wages
• Inclusive workplace with Diversity, Equity, and Inclusion resource groups