Financial Clearance Specialist 1

Savista; United States; Remote; Full time

Job summary

A leading company in healthcare services seeks a Financial Clearance Specialist to ensure accurate financial clearance processing. The role involves liaising with patients and insurers, verifying information, and ensuring compliance, all while delivering excellent service. Candidates should have strong experience in patient registration and insurance interactions.

Qualifications

• 3+ years’ experience with patient registration, insurance verification, and obtaining authorizations.
• Proficient in medical and insurance terminology.
• Ability to interact effectively with diverse stakeholders.

Responsibilities

• Process and verify financial components of financial clearance.
• Contact insurance companies and patients for information.
• Obtain pre-certifications and authorizations.

Skills

Customer Service

Attention to Detail

Communication

Problem Solving

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite

Job description

Financial Clearance Specialist 1 page is loaded

Financial Clearance Specialist 1

Apply locations Remote - USA time type Full time posted on Posted 3 Days Ago job requisition id R4739

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Job Purpose

The Financial Clearance Specialistrole ensures seamless and accurate processing of financial clearance procedures. Responsibilities include contacting insurance companies, physicians, and patients to ensure patient demographic and insurance information is collected, and that a financial clearance determination can be made. It will also inform patients of their rights, financial policies, and collects patient liabilities.

Duties & Responsibilities

• Process and verify administrative and financial components of financial clearance including validation of insurance benefits, medical necessity, routine and complex pre-certification, prior-authorization, scheduling and pre-registration, patient benefit and cost estimates, and pre-collection of out-of-pocket cost share.
• Obtain pre-certifications, authorizations, and referrals for upcoming appointments.
• Communicate recommended changes to schedules and care planning to ensure alignment with authorization requests and payor compliance
• Liaison between patient, insurance payors and providers to obtain prior authorization for prescheduled services
• Effectively address issues and offer information and support to both patients and physicians concerning financial clearance matters
• Process stat request prioritization
• Verify demographic information
• Apply payor changes to registration
• Verify, edit and/or remove user defined referral counts editing final status of referrals
• Edit the scheduled date within the referral, pend referrals to any pools, suppressing expiring referrals messages, accessing assigned referral work queues, defer/activate referral work queue items, use referral templates
• Apply critical thinking skills to identify and resolve problems proactively

Qualifications & Competencies

• High School Diploma or equivalent
• 3+years’ experience with patient registration in a hospital or physician office, directly with obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations
• Proficient with commercial and government insurance plans, payer networks, government resources
• Proficient with medical and insurance terminology
• Strong customer service skills, including ability to understand, interpret, evaluate, and resolve basic to complex service issues.
• Strong attention to detail and accuracy
• Excellent verbal and written communication, telephone etiquette, interviewing, and interpersonal skills to interact with peers, management, patients, client, and external agencies
• Ability to work with a variety of stakeholders
• Proficient in utilizing a variety of computer applications and software, including but not limited to Microsoft Office Suite, Internet Explorer, and other relevant programs
• Proven track record in roles that involve managing multiple critical priorities, with a focus on delivering high-quality results and meeting performance metrics

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $20.00 to $22.00 However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

California Job Candidate Notice

Job Scam Alert

It has come to our attention that there have been some bad actors using our company name to solicit personal information as part of a fraudulent hiring scam.

Unfortunately, this is out of our control, but we want to make it clear that this behavior is unacceptable.

All of our open roles are posted on our careers page . Should you apply for a role and be contacted by an employee of Savista, all of our interviews will be scheduled by someone with an @savistarcm.com email address and conducted over video call or in-person. We never ask you to provide personal information through other means, such as Telegram or social media platforms, as part of our interview or onboarding process.

Savista does not and will not ask you to share any personally identifiable information (such as bank account details, SSN, etc) by any other means than a secure platform. We recommend you do not share any sensitive information over the phone or email.

Fraudulent hiring scams often also ask for financial information and may ask for “advances.” Savista does not ask for any financial commitment at any stage of the recruitment process. We have reported and flagged these job scams when we’ve seen them. We also encourage you to contact your state attorney general’s office to report any potential scams and also recommend you contact any recruiting website and/or social media platform that may have been involved as well to notify them.

Savista has no responsibility for fraudulent offers and advises job candidates to follow the guidance provided.