Frontline Patient Billing & Coverage Expert

UMass Memorial Health; Worcester (MA); Remote; USD 29,000 - 40,000; Full time

Job summary

UMass Memorial Health in Worcester, MA, is seeking a Financial Clearance Specialist to assess and verify patient information for scheduled medical services. The role involves collecting co-pays, deposits, and outstanding balances, and ensuring pre-certifications are in place before service.

The ideal candidate has 4+ years in a hospital revenue cycle, a high school diploma (associate degree preferred), and comfort with hospital computer systems.

Qualifications

• Minimum High School Diploma or GED; associate degree preferred.
• 4+ years in a business office setting, hospital revenue cycle preferred.

Responsibilities

• Verify patient demographics, financial and insurance information for scheduled services.
• Collect co-pays, deposits, deductibles, and down payments; provide estimates.
• Ensure pre-certification or referral is in place prior to service.
• Refer patients to Financial Counselors or Business Office as needed.
• Reschedule appointments under leadership guidance; document status in the system.
• Adhere to Financial Clearance Policy in all patient cases.
• Assess gaps in coverage to determine patient financial exposure.

Skills

4+ years experience

Healthcare environment

Patient financial discussions

Hospital revenue cycle

Education

High School Diploma or GED

Associate degree preferred

Tools

Hospital computer systems

Third party collections

Job description

UMass Memorial Health in Worcester, MA, is seeking a Financial Clearance Specialist to assess and verify patient information for scheduled medical services. The role involves collecting co-pays, deposits, and outstanding balances, and ensuring pre-certifications are in place before service.

The ideal candidate has 4+ years in a hospital revenue cycle, a high school diploma (associate degree preferred), and comfort with hospital computer systems.