Remote Financial Clearance Specialist

TriHealth; Norwood (OH); Remote; USD 36,000 - 54,000; Full time

Benefits offered by this job

Medical, dental, vision

Paid time off

Retirement savings plans

Tuition reimbursement

Job summary

TriHealth seeks a Financial Clearance Representative to verify patient insurance, confirm benefits, and handle pre-certification and patient liability. The role supports revenue cycle and ensures accurate insurance data for timely payments.

Includes work-from-home scheduling with a standard M-F, 8:30 AM–5:00 PM, and a comprehensive benefits package. Prior experience in healthcare billing and third-party verification is preferred.

Qualifications

• High School Diploma or equivalent with Medical Terminology knowledge.
• Knowledge of medical terminology and insurance vocabulary.
• Experience in healthcare patient support or revenue cycle setting.
• Experience with verification/precertification and third‑party benefits preferred.

Responsibilities

• Verify patient insurance and benefits eligibility.
• Perform authorizations and precertifications as required by providers.
• Calculate and communicate patient liability and payment responsibilities.
• Review medical records to obtain info for authorizations (surgery, tests, treatment).

Skills

Customer service

Healthcare terminology

Communication skills

Attention to detail

Education

High School Diploma with Medical Terminology

Tools

Automated patient accounts system

Online verification systems

Job description

TriHealth seeks a Financial Clearance Representative to verify patient insurance, confirm benefits, and handle pre-certification and patient liability. The role supports revenue cycle and ensures accurate insurance data for timely payments.

Includes work-from-home scheduling with a standard M-F, 8:30 AM–5:00 PM, and a comprehensive benefits package. Prior experience in healthcare billing and third-party verification is preferred.