Financial Clearance & Patient Access Specialist

University of Maryland Medical System; Bel Air (MD); On-site; USD 45,000 - 65,000; Full time

Job summary

The University of Maryland Medical System (UMMS) is seeking a detail-oriented Financial Clearance Specialist to join our Patient Access team in Maryland. The role focuses on processing patient, insurance, and financial clearance for scheduled and unscheduled services, ensuring clearance before services and supporting revenue cycle performance.

Responsibilities include verifying insurance, obtaining pre-certifications, providing cost estimates, and coordinating with multiple departments to ensure

Qualifications

• High School Diploma or equivalent is required.
• Minimum two years of experience in healthcare revenue cycle, medical office, hospital, patient access or related experience.
• Experience in healthcare registration, scheduling, insurance referral and authorization processes preferred.

Responsibilities

• Verify insurance eligibility, benefits, referrals, and authorization requirements to ensure patients are financially cleared prior to receiving services.
• Obtain, submit, and monitor routine and complex pre-certifications, prior authorizations, and referrals while maintaining accurate documentation.
• Provide patients with benefit information, cost estimates, and financial assistance resources, including collection of applicable patient responsibility amounts.
• Coordinate with physicians, clinical staff, insurance carriers, and ancillary departments to support timely access to care and resolve authorization or scheduling issues.
• Complete patient pre-registration activities, maintain payer notifications, assist with denial prevention efforts, and identify opportunities to improve financial clearance processes.

Skills

Medical terminology

Insurance terminology

Epic patient access

Education

High School Diploma or equivalent

Tools

Epic

Job description

The University of Maryland Medical System (UMMS) is seeking a detail-oriented Financial Clearance Specialist to join our Patient Access team in Maryland. The role focuses on processing patient, insurance, and financial clearance for scheduled and unscheduled services, ensuring clearance before services and supporting revenue cycle performance.

Responsibilities include verifying insurance, obtaining pre-certifications, providing cost estimates, and coordinating with multiple departments to ensure