Senior Financial Clearance Specialist - Remote

Overview

The Senior Financial Clearance Specialist is responsible for coordinating the patient, insurance and financial clearance aspects for both scheduled and non-scheduled appointments, ensuring effective communication and management of financial processes.

In Short

• Coordinates financial clearance components including insurance validation and pre-certification.
• Manages complex multi-payer insurance verification and eligibility validation.
• Performs root cause analysis on authorization denials.
• Provides guidance to financial clearance specialists.
• Maintains communication with patients regarding clearance matters.
• Develops strategies for denial mitigation.
• Mentors Ambulatory Practice Coordinators.
• Collaborates with interdisciplinary teams to improve workflows.
• Assists with denial reconciliation as needed.
• Works with staff to resolve issues.

Requirements

• Associate's Degree or equivalent experience.
• 4+ years of experience in healthcare revenue cycle or related fields.
• Experience with healthcare registration and insurance processes.
• Proficiency in Microsoft Office.
• Excellent communication and interpersonal skills.
• Ability to resolve complex customer service issues.
• Advanced analytical skills.
• Knowledge of healthcare revenue cycle and regulations.
• Ability to maintain confidentiality.
• Knowledge of hospital administrative practices.

Benefits

• Competitive salary.
• Comprehensive benefits package.
• Opportunity for professional growth.
• Supportive work environment.
• Collaboration with diverse professionals.