Financial Clearance Specialist II

Moffitt Cancer Center; United States; Remote; USD 23,000 - 34,000; Full time

Job summary

Moffitt Cancer Center is seeking a Financial Clearance Unit Specialist to identify payment responsibilities, verify eligibility and benefits, and secure authorizations. The role requires up-to-date experience in medical insurance collections within a hospital or large practice setting.

The successful candidate will monitor daily worklists, submit clinical information accurately, and exhaust all resources for clearance while maintaining clear communication with patients and clinical teams to

Qualifications

• Minimum of three (3) years recent medical insurance collections experience in a hospital or large group practice setting.
• In lieu of Associates degree, a High School 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.

Responsibilities

• Identify the responsible party for payment of services and verify eligibility and benefits.
• Secure authorizations from insurance companies or find financial alternatives for patients.
• Monitor worklists, submit required clinical information, and perform prompt follow-up.
• Communicate effectively with patients and clinical teams to secure timely care and center reimbursement.
• Analyze, identify and resolve barriers to payment and ensure accurate policy creation and allocation.

Skills

Insurance collections

Denials management

Follow-up

Patient communication

Collaboration with clinical teams

Education

High School Diploma/GED

Associates degree alternative: 5 years of related experience

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

Minimum Education Level:

• 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 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.

We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.

_ If you have the vision, passion, and dedication to contribute to our mission, _

_ then we have a place for you! _

1. 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. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.

2. Reasonable Accommodation

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at 813-745-7899 or by email at [e-mail]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

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