Financial Clearance Specialist

Colorado In Motion; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare company is seeking a Financial Clearance Specialist to ensure timely financial clearance before services, aligning patient experience protocols. This remote position necessitates verifying insurance benefits and authorizations, alongside a solid understanding of related regulations. Ideal candidates will have a high school diploma and 1-2 years of related experience.

Benefits

Generous PTO Plan

Health, Dental, and Vision insurance

401(k) with company match up to 4%

Unique Maternity Benefits

New Parent Perks

Qualifications

• 1-2 years of financial clearance experience in a medical or health setting preferred.

Responsibilities

• Verifies insurance benefits for all new patients prior to initial evaluation.
• Obtains authorizations for services when required by the insurance plan.
• Monitors authorizations to prevent revenue loss due to expired authorizations.

Skills

Strong computer skills

Knowledge of Medicare

Knowledge of Medicaid

Knowledge of HIPAA

Education

High School Diploma

Tools

Excel

PowerPoint

Word

Job description

Overview

Reporting to the Manager of Financial Clearance, the Financial Clearance Specialist will be responsible for ensuring that financial clearance is obtained prior to services being rendered, patient experience protocols are followed, and clearance is obtained in a timely manner to reduce related denials.

Benefits:

• Generous PTO Plan
• Health, Dental, and Vision insurance
• 401(k) with company match up to 4%
• Unique Maternity Benefits
• New Parent Perks
• Much, Much More!

Responsibilities

This is a remote position.

Verifies insurance benefits for all new patients prior to the initial evaluation.

Reverifies benefits as needed due to insurance changes/updates.

Ensures patient demographics and insurance benefits are entered accurately in the EMR.

Obtains authorizations for services when required by the insurance plan.

Ensures authorization details are entered accurately into the EMR.

Monitors authorizations, visit counts, and eligibility status to prevent loss of revenue due to expired authorizations, exceeded visit counts, or ineligibility.

Qualifications:

• High School Diploma required
• 1-2 years of financial clearance experience in a medical or health setting preferred.
• Strong computer skills relevant to the position required. Experience using Excel, PowerPoint, and Word required.
• Knowledge of and ability to explain Medicare, Medicaid, HIPAA, and other government assistance programs and regulations.