Revenue Cycle Specialist — Financial Clearance & Patient Access

Shepherd Center; Atlanta (GA); On-site; USD 40,000 - 60,000; Full time

Job summary

The Shepherd Center is seeking a Financial Clearance Specialist to ensure patients are financially cleared before services. You will verify insurance coverage, interpret benefits, deliver estimates, and coordinate authorizations, acting as the liaison between Patient Access Services and Patient Financial Services.

You will explain benefits, EOBs, and payment obligations to patients and families, negotiate payment plans, and ensure compliance with CMS, No Surprises Act, and price transparency

Qualifications

• High School Diploma or GED required.
• Experience in patient access, financial clearance, healthcare billing, or related revenue cycle functions preferred.
• Strong math aptitude and financial acumen.
• Excellent written and verbal communication.
• Proficiency with Epic and Microsoft Office tools.

Responsibilities

• Provide expert guidance to patients and families by explaining insurance benefits and financial responsibility.
• Interpret and explain benefits, EOBs, authorizations, denials, and payer determinations.
• Document benefit details and discussions accurately within the EHRE.
• Ensure CMS-required notices, No Surprises Act, and price transparency compliance.
• Establish and negotiate payment plans with patients as appropriate.
• Coordinate submission of documentation for Shepherd Center's Financial Assistance Program.
• Perform POS collections and maintain cash drawer accuracy.
• Collaborate with Insurance Verification Specialists and other teams to resolve issues.

Skills

Insurance benefits interpretation

Financial counseling

Communication with patients

Regulatory compliance

Education

High School Diploma or GED

Job description

The Shepherd Center is seeking a Financial Clearance Specialist to ensure patients are financially cleared before services. You will verify insurance coverage, interpret benefits, deliver estimates, and coordinate authorizations, acting as the liaison between Patient Access Services and Patient Financial Services.

You will explain benefits, EOBs, and payment obligations to patients and families, negotiate payment plans, and ensure compliance with CMS, No Surprises Act, and price transparency