Sr. Financial Clearance Specialist (ONSITE in Ortigas)

Connext; Pasig; On-site; PHP 446,000 - 759,000; Full time

Benefits offered by this job

Competitive compensation

Perfect Attendance Bonus

Life insurance

HMO Insurance

Great company culture

Annual Merit Increase

Night differential 25%

Job summary

Connext Global Solutions is seeking a Senior Financial Clearance Specialist to join our client team in the United States, working from the Philippines. The role centers on processing and verifying patient financial clearance, including insurance validation, pre-certification, prior authorization, pre-registration, and cost estimates.

This position involves patient financial counseling, pre-service and point-of-service support, and on-site POS collections to ensure accurate collections and timely

Qualifications

• High School Diploma or equivalent.
• Minimum of three (3) years of experience in patient registration in a hospital or physician office.
• Experience handling insurance verification and authorizations.
• Must have stable employment history.
• Demonstrates strong understanding of insurance plans, benefits, and authorization requirements.

Responsibilities

• Process and verify insurance benefits, medical necessity, routine and complex pre-certifications, prior authorizations, scheduling, and pre-registration.
• Provide clear and compassionate financial counseling to patients regarding benefits coverage, out-of-pocket estimates, and financial policies.
• Generate and review patient cost estimates; perform pre-service collections and secure patient liabilities.
• Conduct onsite POS collections, including copays, deductibles, and coinsurance at the time of service.
• Discuss payment options and resolve patient financial concerns in real time.

Skills

Customer service

Medical terminology

Education

High school diploma

Job description

Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Sr. Financial Clearance Specialist who will be working with Connext's Client in the United States of America.

What's in it for you?

• Competitive compensation
• Perfect Attendance Bonus
• Life insurance
• HMO Insurance
• Great company culture
• Annual Merit Increase
• 25% Night Differential

What is the job?

The Senior Financial Clearance Specialist is responsible in processing and verifying administrative and financial components of patient financial clearance, including insurance validation, pre-certification, prior authorization, pre-registration, patient benefit verification, and out-of-pocket cost estimates. This role ensures accurate collections, provides financial counseling to patients, and supports high-quality pre-service and point-of-service operations.

• Process and verify insurance benefits, medical necessity, routine and complex pre-certifications, prior authorizations, scheduling, and pre-registration.
• Provide clear and compassionate financial counseling to patients regarding benefits coverage, out-of-pocket estimates, and financial policies.
• Generate and review patient cost estimates; perform pre-service collections and secure patient liabilities.
• Conduct onsite POS collections, including copays, deductibles, and coinsurance at the time of service.
• Discuss payment options and resolve patient financial concerns in real time.

Required Qualifications:

• High School Diploma or equivalent.
• Minimum of three (3) years of experience in patient registration in a hospital or physician office, including obtaining patient demographic and financial information.
• Experience handling insurance verification and authorizations.
• Must have stable employment history.
• Demonstrates strong understanding of insurance plans, benefits, and authorization requirements.
• Demonstrates proficiency in medical and insurance terminology.
• Demonstrates strong customer service skills with the ability to address basic to complex service issues.