Financial Clearance & Authorization Specialist

Beth Israel Lahey Health; Beverly (MA); On-site; USD 28,240 - 38,007; Full time

Job summary

Beth Israel Lahey Health is seeking a candidate for a financial clearance role in Beverly, MA. This position involves verifying patients' insurance eligibility, identifying medical necessity requirements, and obtaining necessary authorizations from payers.

The ideal candidate should have a high school diploma, relevant experience in financial clearance activities, and advanced skills in Microsoft applications.

This role offers an hourly wage between $20.50 and $27.59, and requires staff to be vaccinated against influenza.

Qualifications

• 1-3 years related work experience required.
• Working knowledge of CPT, HCPCS, and ICD-9, ICD-10 coding.
• Advanced skills with Microsoft applications.

Responsibilities

• Verifies patient's insurance eligibility using online tools and direct payer contact.
• Identifies payer medical necessity determination before services.
• Determines authorization requirements and obtains authorization when necessary.
• Identifies and escalates issues timely for resolution.

Skills

Decision Making

Problem Solving

Independence of Action

Written Communications

Oral Communications

Knowledge

Team Work

Customer Service

Education

High School diploma or GED

Associate's degree

Tools

Microsoft Office Suite

Craneware software

Job description

Beth Israel Lahey Health is seeking a candidate for a financial clearance role in Beverly, MA. This position involves verifying patients' insurance eligibility, identifying medical necessity requirements, and obtaining necessary authorizations from payers.

The ideal candidate should have a high school diploma, relevant experience in financial clearance activities, and advanced skills in Microsoft applications.

This role offers an hourly wage between $20.50 and $27.59, and requires staff to be vaccinated against influenza.