Financial Clearance & Patient Access Specialist

University Health System; San Antonio (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

University Health System is seeking a Financial Counseling/Insurance Verification Specialist to secure accurate patient data for financial clearance and to determine funding sources for hospital and clinic services.

The role includes conducting pre-authorization, calculating coinsurance, and communicating charges to patients. It requires experience in insurance benefits and basic medical terminology, to support timely reimbursement.

Qualifications

• High school diploma or GED required.
• Six months of financial counseling experience preferred in hospital/physician office.
• Knowledge of insurance benefits, pre-authorization and collection of monies preferred.

Responsibilities

• Secure and obtain accurate patient data for financial clearance.
• Communicate with patients to determine funding source information.
• Determine benefit level and coinsurance amounts for hospital and clinic services.
• Perform pre-authorization and financial counseling.
• Inform patients about service charges and assist with payment estimates.
• Collect copays and coinsurance when owed by the patient.
• Ensure proper financial clearance for timely reimbursement.

Skills

Insurance verification

Financial counseling

Pre-authorization

Coinsurance/ Copay collection

ICD-10 coding

Medical terminology

Education

High school diploma or GED

Job description

University Health System is seeking a Financial Counseling/Insurance Verification Specialist to secure accurate patient data for financial clearance and to determine funding sources for hospital and clinic services.

The role includes conducting pre-authorization, calculating coinsurance, and communicating charges to patients. It requires experience in insurance benefits and basic medical terminology, to support timely reimbursement.