Financial Clearance Specialist

This is a fully remote position, open to applicants in Massachusetts.

📋 Description

• Evaluate and confirm patient demographic, financial, and insurance details for scheduled medical services

• Gather co-pays, deductibles, coinsurances, down payments, and other patient financial obligations

• Provide service estimates and clarify liability variables to patients

• Receive and manage payments for both current and past due balances

• Communicate with insurance companies to verify eligibility and acquire accurate billing details

• Conduct collections on overdue accounts receivable

• Ensure pre-certification authorization and/or referrals are secured prior to service delivery

• Direct patients to Financial Counselors or the Business Office as necessary

• Reschedule appointments upon request or when financial situations necessitate postponement

• Enter detailed notes regarding financial clearance status in the system

• Consistently apply Financial Clearance policies and procedures

• Evaluate coverage gaps and assess patient financial exposure

• Reprioritize tasks as needed and perform other assigned responsibilities

⛳️ Requirements

• High School Diploma or G.E.D. is required

• A minimum of 4 years of experience in a business office environment; experience in hospital revenue cycle, physician office, or collection agency is preferred

• Previous experience in a healthcare setting is mandatory

• A business concentration is preferred

• Proficiency in personal computers and business office software is preferred

• Familiarity with hospital computer systems is advantageous

• Knowledge of third-party collections and reimbursement processes is preferred

• An equivalent combination of education and experience may be acceptable unless specific certification, licensure, or registration is mandated

• Availability to work Monday through Friday, from 8 AM to 4:30 PM

• Capability to perform tasks that involve sitting, standing, walking, talking/hearing, hand use, and lifting up to 10 pounds

🏝️ Benefits

• A signing bonus may be available, depending on eligibility

• Full-time schedule of 40 hours per week

• Remote work arrangement (Primarily Remote)