Financial Clearance Representative I/II

Roswell Park Comprehensive Cancer Center; Buffalo (NY); On-site; USD 45,000 - 50,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

Roswell Park Comprehensive Cancer Center in Buffalo, NY seeks a Financial Clearance Representative I/II to verify insurance coverage, obtain authorizations, and ensure accurate patient data before services are delivered. You will serve as a key link between patients, providers, insurers, and internal teams to reduce denials and streamline access to care.

The role offers a pathway from I to II with increasing responsibility, including handling complex authorizations, contributing to process

Qualifications

• High School diploma or GED with 1 year of full-time experience in pre-certifications or related field; or completion of a Patient Access Representative traineeship at Roswell Park.
• Experience with insurance verification, pre-authorizations, and follow-up procedures.
• Strong communication and customer service skills; attention to detail.
• Ability to manage multiple priorities while maintaining accuracy.
• Healthcare setting experience is preferred.

Responsibilities

• Verify insurance coverage and benefits for patients.
• Ensure patient demographics and provider information are accurate.
• Obtain referrals, pre-certifications, and authorizations.
• Communicate with insurance companies for approvals and coverage determinations.
• Support clinical teams regarding authorization requirements.
• Investigate coverage issues and assist with appeals and follow-up.
• Coordinate with patient accounting, physician billing, admissions, and clinical teams.
• Maintain documentation and monitor system activity for timely processing.
• At Level II, assist with more complex authorizations and mentoring.

Skills

Insurance verification

Authorizations

Patient access

Communication

Problem solving

Education

High School diploma

Tools

Electronic systems

Documentation tools

Job description

Title:Financial Clearance Representative I/IIJob Type:RegularCompany:Roswell Park Comprehensive Cancer CenterDepartment:Financial Clearance CenterTime Type:Full timeWeekly Hours:37.5FTE:0.9375Shift:First Shift (United States of America)Summary:About the Role:At Roswell Park, the patient experience begins long before treatment starts. As a Financial Clearance Representative, you'll play a critical role in helping patients access the care they need by ensuring insurance coverage, authorizations, and financial requirements are addressed before services are delivered.This position serves as a key connection point between patients, healthcare providers, insurance companies, and internal teams. Whether you're verifying benefits, securing authorizations, resolving coverage challenges, or helping prevent claim denials, your work helps create a smoother experience for patients while supporting timely access to life-changing care.Depending on experience and qualifications, candidates may be considered for either the Financial Clearance Representative I or Financial Clearance Representative II level.The starting annual salary for the Financial Clearance Representative I position is $44,560 and this can include a full comprehensive benefits package.The starting annual salary for the Financial Clearance Representative II position is $49,841 and this can include a full comprehensive benefits package.What You'll Do:In this role, you will:Verify insurance coverage and benefits for new and existing patientsEnsure patient demographic, insurance, and provider information is accurate and up to dateObtain required referrals, pre-certifications, and authorizations for services and treatmentsCommunicate with insurance companies to support timely approvals and coverage determinationsServe as a resource for clinical teams regarding insurance and authorization requirementsInvestigate and resolve coverage issues that may impact patient care or billingResearch denied services and assist with appeals and follow-up activitiesCoordinate with patient accounting, physician billing, admissions, and clinical teams to support financial clearance effortsMaintain accurate documentation and records related to authorizations and insurance verificationMonitor work queues, reports, and system activity to help ensure timely processing and high-quality outcomesAt the Financial Clearance Representative II level, additional responsibilities may include:Managing more complex authorization and insurance-related issuesPreparing clinical documentation and letters of medical necessityCoordinating peer-to-peer reviews between providers and insurance representativesSupporting denial prevention and resolution effortsTraining and mentoring team membersReviewing reports to identify opportunities for process improvement and efficiencyAssisting with special projects, system maintenance, and operational initiativesWhat You'll Bring:We're looking for individuals who are detail-oriented, organized, and passionate about helping patients navigate the financial side of healthcare.Successful candidates will have:Experience working with insurance verification, authorizations, patient access, revenue cycle, healthcare administration, or a related healthcare settingKnowledge of medical insurance plans, payer requirements, and pre-authorization processesStrong problem-solving and critical-thinking skillsExcellent communication and customer service abilitiesThe ability to manage multiple priorities while maintaining accuracy and attention to detailComfort working with electronic systems, documentation, and reporting toolsA collaborative approach and the ability to build strong working relationships across departmentsYou'll Stand Out If You Have:Previous experience obtaining authorizations or pre-certificationsExperience working with insurance denials, appeals, or payer communicationsKnowledge of hospital, physician billing, or oncology-related workflowsExperience preparing clinical documentation to support authorization requestsExperience training, mentoring, or supporting other team membersStrong understanding of healthcare reimbursement processes and regulatory requirementsWho Will Be Successful in This Role?You may be a great fit if you:Enjoy helping people navigate complex processesCan balance customer service with strong attention to detailAre comfortable communicating with insurance carriers and healthcare professionalsLike solving problems and finding creative solutionsStay organized and focused when managing competing prioritiesTake pride in ensuring patients have the information and support they need before treatment beginsWhy You'll Love Working Here:At Roswell Park, every team member contributes to a mission that goes far beyond their individual role. When you join us, you'll become part of an organization dedicated to advancing cancer care, research, education, and prevention while delivering exceptional support to patients and families.You'll enjoy:Meaningful work that directly impacts patient access to careA collaborative and supportive team environmentOpportunities for professional growth and career advancementOngoing learning and development opportunitiesComprehensive benefits that support your health, wellness, and futureThe chance to work alongside passionate professionals committed to making a difference every dayMake an Impact:If you're looking for an opportunity to combine healthcare knowledge, problem-solving skills, and compassionate service, we'd love to hear from you. Join Roswell Park and help ensure patients can focus on their care while we help navigate the path forward together.Qualifications:Financial Clearance Representative I:Required Education and Experience1. High School diploma or High School Equivalency diploma and the equivalent of one (1) year of full-time experience in pre-certifications and follow-up procedures or a related field; or2. High School diploma or High School Equivalency diploma and successful completion of a Patient Access Representative traineeship at Roswell Park Comprehensive Cancer Center (Roswell Park).NOTE:Degrees must be conferred by an accredited school, college, or university, or by an institution recognized by Roswell Park Comprehensive Cancer Center and/or Health Research Incorporated as adhering to acceptable educational standards.ORFinancial Clearance Representative II:Required Education and Experience1. High School diploma or High School Equivalency diploma and the equivalent of three (3) years of full-time experience in authorization and follow-up procedures or related field; or2. High School diploma or High School Equivalency diploma and the equivalent of two (2) years of full-time experience Financial Clearance and/or Patient Access within the Financial Clearance Department at Roswell Park Comprehensive Cancer Center.NOTE:Degrees must be conferred by an accredited school, college, or university, or by an institution recognized by Roswell Park Comprehensive Cancer Center and/or Health Research Incorporated as adhering to acceptable educational standards.Equal Employment Opportunity StatementRoswell Park Cancer Institute Corporation (RPCIC) is committed to equal employment opportunity. We do not discriminate against employees, applicants, or job seekers on the basis of any characteristic protected by applicable federal, state, or local law. Employment decisions are based on qualifications, performance, and business needs. We are committed to maintaining a fair, respectful workplace where employees are valued for their contributions and supported in advancing our mission.Reasonable Accommodation RequestRPCIC is committed to providing reasonable accommodations to qualified individuals with disabilities. If you need a reasonable accommodation for any part of the application process, employment process, or to perform your job, please contact [e-mail] and provide information about your request and preferred contact method.Our Core ValuesRPCIC is committed to fostering an environment where patients, families, employees, volunteers, and members of our community are treated with dignity, courtesy, and respect. We believe our mission is strengthened when individuals contribute their experiences, perspectives, and ideas and work together toward a common purpose. Our actions are guided by our core values of Innovation, Integrity, Teamwork, Commitment, Compassion, and Respect.Historical Compensation Information StatementPursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at [phone] or via email at [e-mail].