Remote Post-Acute Financial Clearance Specialist

Mass General Brigham Incorporated; Somerville (MA); Remote; USD 44,000 - 59,000; Full time

Job summary

Mass General Brigham Incorporated seeks a Financial Access Specialist to manage financial clearance for post-acute admissions across IRF, LTAC, and SNF settings. You will verify insurance eligibility, initiate and track prior authorizations, and document activity in Epic to support timely admissions.

Collaborating with Admissions, Case Management, and Financial Counseling, you will identify financial risks, communicate with payers, and ensure accurate reimbursement while maintaining HIPAA

Qualifications

• High School Diploma or equivalent required.
• Bachelor's degree preferred.
• 2+ years of experience in patient access/revenue cycle.
• Epic experience strongly preferred.
• Experience with prior authorizations and insurance verifications preferred.
• HIPAA familiarity and ability to protect patient confidentiality.

Responsibilities

• Financial clearance of post-acute admissions, including verification of insurance eligibility, coverage and benefits.
• Initiates and manages prior authorization requests from submission to final determination.
• Document authorization activity in Epic (Auth/Cert) to ensure visibility and reimbursement.
• Identify benefit limitations and network issues, escalating as needed.
• Communicate updates with Admissions, Case Management and Financial Counseling.
• Collaborate to ensure timely, financially appropriate admissions.

Skills

Medical terminology

Insurance plans

Reimbursement processes

Epic experience

Education

High School Diploma or equivalent

Bachelor's degree preferred

Tools

Epic

Job description

Mass General Brigham Incorporated seeks a Financial Access Specialist to manage financial clearance for post-acute admissions across IRF, LTAC, and SNF settings. You will verify insurance eligibility, initiate and track prior authorizations, and document activity in Epic to support timely admissions.

Collaborating with Admissions, Case Management, and Financial Counseling, you will identify financial risks, communicate with payers, and ensure accurate reimbursement while maintaining HIPAA