Financial Clearance & Patient Access Specialist

Roswell Park; United States; On-site; USD 45,000 - 50,000; Full time

Job summary

Roswell Park Comprehensive Cancer Center is seeking a Financial Clearance Representative to verify insurance coverage, obtain pre-certifications and authorizations, and ensure accurate patient data before services are delivered. This role connects patients, providers, and insurers to facilitate timely access to care.

The position requires attention to detail, strong communication, and the ability to manage multiple priorities across departments.

Qualifications

• Experience with insurance verification, authorizations, patient access, revenue cycle, or healthcare setting.
• Knowledge of medical insurance plans, payer requirements, and pre-authorization processes.
• Strong problem-solving and critical-thinking skills.
• Excellent communication and customer service abilities.
• Ability to manage multiple priorities with accuracy and attention to detail.

Responsibilities

• Verify insurance coverage and benefits for new and existing patients
• Ensure patient demographic, insurance, and provider information is accurate
• Obtain required referrals, pre-certifications, and authorizations for services and treatments
• Communicate with insurance companies to support timely approvals and coverage determinations
• Serve as a resource for clinical teams regarding insurance and authorization requirements
• Investigate and resolve coverage issues that may impact patient care or billing
• Research denied services and assist with appeals and follow-up activities
• Coordinate with patient accounting, physician billing, admissions, and clinical teams to support financial clearance efforts
• Maintain accurate documentation and records related to authorizations and insurance verification
• Monitor work queues, reports, and system activity to help ensure timely processing and high-quality outcomes

Skills

Insurance verification

Pre-certifications

Authorizations

Patient access

Revenue cycle

Healthcare administration

Communication

Customer service

Attention to detail

Education

High School diploma or GED

Job description

Roswell Park Comprehensive Cancer Center is seeking a Financial Clearance Representative to verify insurance coverage, obtain pre-certifications and authorizations, and ensure accurate patient data before services are delivered. This role connects patients, providers, and insurers to facilitate timely access to care.

The position requires attention to detail, strong communication, and the ability to manage multiple priorities across departments.