Patient Access & Authorization Specialist

aa067; Irwindale (CA); On-site; USD 42,000 - 62,000; Full time

Job summary

City of Hope in California seeks a Financial Clearance Specialist to manage pre-registration and obtain prior authorizations for complex managed care patients. The role emphasizes independent judgment, coordinating with providers, payors, and patient care teams to ensure timely authorizations and smooth admission processes.

The candidate will verify demographics and insurance, communicate plan requirements, and educate patients on coverage and potential out-of-pocket costs.

Qualifications

• Requires high school diploma or GED.
• Three years of healthcare pre-registration/referral experience.
• Medical terminology and EMR experience required.
• EPIC EMR experience preferred; oncology setting is a plus.

Responsibilities

• Obtain authorizations from insurance carriers for services.
• Perform pre-registration functions and verify demographic, clinical, and insurance information.
• Communicate with patients, payers, and care teams to resolve issues.
• Educate patients about insurance policy and financial responsibilities.
• Coordinate with contracting and financial counseling as needed.

Skills

Authorization processing

Insurance verification

EMR EPIC

Patient coordination

Communication skills

Education

High school diploma or GED

Tools

EPIC EMR

Job description

City of Hope in California seeks a Financial Clearance Specialist to manage pre-registration and obtain prior authorizations for complex managed care patients. The role emphasizes independent judgment, coordinating with providers, payors, and patient care teams to ensure timely authorizations and smooth admission processes.

The candidate will verify demographics and insurance, communicate plan requirements, and educate patients on coverage and potential out-of-pocket costs.