Remote Financial Access Specialist

Spaulding Hospital - Boston and Cambridge; Boston (MA); Remote; USD 48,216,000 - 81,278,000; Full time

Job summary

The Spaulding Rehabilitation Hospital Corporation seeks a role focused on the financial clearance of postacute admissions and outpatient services across Spaulding facilities. It verifies insurance eligibility, coverage, and benefits, and manages prior authorizations from initiation through final determination.

The role collaborates with Admissions, Case Management, Financial Counseling, and Outpatient Rehabilitation teams to ensure timely access and accurate reimbursement while maintaining

Qualifications

• Associate's Degree in a related field is required.
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Responsibilities

• Responsible for financial clearance of assigned postacute and outpatient services.
• Initiates and manages prior authorization requests through final determination.
• Documents all authorization activity in Epic for visibility across departments.
• Identifies benefit limitations and potential financial risks, escalating as needed.
• Negotiates single case agreements with certain payers to secure payment terms.
• Monitors Epic Workqueues to support timely admissions and therapy visits.
• Communicates authorization updates and requests for information to stakeholders.
• Prepares self-pay estimates and coordinates with Financial Counseling before admissions/therapy.

Skills

Epic proficiency

Prior authorization

Attention to detail

Time management

Interdepartmental collaboration

HIPAA compliance

Independent work

Communication skills

Education

Associate's degree in related field

Job description

The Spaulding Rehabilitation Hospital Corporation seeks a role focused on the financial clearance of postacute admissions and outpatient services across Spaulding facilities. It verifies insurance eligibility, coverage, and benefits, and manages prior authorizations from initiation through final determination.

The role collaborates with Admissions, Case Management, Financial Counseling, and Outpatient Rehabilitation teams to ensure timely access and accurate reimbursement while maintaining