Financial Clearance Specialist I/II - Access to Care

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

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