Financial Clearance & Prior Authorization Specialist

Vanderbilt University Medical Center; United States; Remote; USD 40,000 - 55,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Vanderbilt University Medical Center is seeking an administrative professional to assist with financial clearance for patient care. Responsibilities include verifying insurance, registering cases, evaluating patient financials, and guiding patients to available assistance programs.

The role supports pre-certification and reimbursement processes and contributes to overall patient access to care. Ideal candidates have strong data entry and customer service skills, with some experience in

Qualifications

• High School Diploma or GED is required.
• Two years of relevant work experience is preferred.
• Ability to verify insurance information and determine patient eligibility for financial assistance.

Responsibilities

• Obtain certification from insurance companies for all office visits.
• Verify insurance information and register cases in the tracking system.
• Evaluate patient assets and liabilities to determine ability to pay.
• Assist patients in applying for financial assistance and external funding resources.
• Complete pre-certification and related paperwork.
• Perform follow-up work related to reimbursement issues.

Skills

Insurance verification

Financial clearance

Data entry

Customer service

Problem solving

Education

High School Diploma or GED

Job description

Vanderbilt University Medical Center is seeking an administrative professional to assist with financial clearance for patient care. Responsibilities include verifying insurance, registering cases, evaluating patient financials, and guiding patients to available assistance programs.

The role supports pre-certification and reimbursement processes and contributes to overall patient access to care. Ideal candidates have strong data entry and customer service skills, with some experience in