Financial Clearance Specialist II

Moffitt Cancer Center; Tampa (FL); On-site; USD 23,000 - 34,000; Full time

Job summary

The Financial Clearance Unit Specialist at Moffitt Cancer Center is responsible for identifying the responsible party for payment, verifying eligibility and benefits, securing authorizations, and locating financial alternatives so patients receive timely care and the center is reimbursed.

The role requires strong communication with patients and clinical teams, accurate submission of information, follow-up, and the ability to navigate automation processes and worklists to resolve barriers.

Qualifications

• At least 3 years of medical insurance collections experience in a hospital or large group practice.
• Experience with insurance eligibility verification and obtaining authorizations.
• Ability to identify and resolve payment barriers to ensure timely care and reimbursement.

Responsibilities

• Identify responsible party for payment and verify eligibility and benefits.
• Secure authorizations from insurance companies and explore financial alternatives for patients.
• Monitor worklists, create and allocate policies, submit accurate clinical information, and perform follow-up to ensure timely care and reimbursement.
• Communicate effectively with patients and clinical teams to resolve barriers and optimize revenue cycle processes.

Skills

Insurance collections

Denials management

Patient communication

Education

High School Diploma/GED

Job description

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.

Summary

The Financial Clearance Unit Specialist is responsible for identifying the responsible party for payment of services, verifying eligibility and benefits, securing authorizations from insurance companies or finding financial alternatives for patients in order to secure the financial health of Moffitt Cancer Center. This includes analyzing, identifying and resolving barriers, monitoring assigned worklists throughout the day, accurate creation and allocation of policies, accurate submission of clinical information, prompt and effective follow up, exhausting all resources for clearance, understanding of automation processes, effective communication with patients and clinical teams to ensure patients can timely receive the care needed and the center is reimbursed for services rendered.

Minimum Education Level

High School Diploma/GED

A minimum of three (3) years recent medical insurance collections experience in a hospital or large group practice setting.

For a large group setting, primary responsibility is that of insurance collections and follow up and/or Denials Management.

In lieu of an Associates degree, a H.S. Diploma with two (2) years additional recent medical insurance collections experience in a hospital or large group practice setting, for a total of five (5) years medical insurance collections experience.

For a large group setting, primary responsibility is that of insurance collections and follow-up and/or Denials Management.

Salary Range

$16.91 - $24.64

Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions. Moffitt is committed to maintaining fair and equitable pay practices and regularly reviews compensation to ensure alignment across our workforce.

Equal Employment Opportunity

Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. Moffitt seeks candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.

Reasonable Accommodation

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