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 financial obligations from patients.

• Provide cost estimates for services and clarify variables related to patient financial responsibilities.

• Accept and process patient payments for both current and outstanding balances.

• Address insurance and financial concerns prior to the delivery of services.

• Initiate communication with insurance providers to secure eligibility and precise billing information.

• Conduct collections on outstanding accounts receivable.

• Confirm that pre-certification authorizations and/or referrals are established before services are provided.

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

• Reschedule appointments upon request or when financial situations necessitate a delay.

• Input clear notes regarding financial clearance status into the system.

• Consistently apply Financial Clearance policies and procedures.

• Evaluate coverage gaps and assess patient financial exposure.

• Adjust priorities as needed and perform other assigned tasks.

⛳️ Requirements

• A minimum of a High School Diploma or G.E.D.; a business concentration is preferred.

• At least four (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 required.

• Proficiency with personal computers and business office software is preferred.

• Knowledge of hospital computer systems is advantageous.

• Familiarity with third-party collections and reimbursement processes is preferred.

• An equivalent combination of education and experience may be considered in lieu of the stated requirements.

🏝️ Benefits

• Potential signing bonus, contingent upon eligibility.

• Remote work arrangement (Primarily Remote).

• Union representation through SHARE (State Healthcare and Research Employees).