Financial Clearance Specialist
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Job Description
Financial clearance specialist verifying insurance, estimating patient liabilities, and collecting payments for UMass Memorial Health. Primarily remote role supporting scheduled medical-service access.
Responsibilities:
- Assess and verify patient demographic, financial, and insurance information for scheduled medical services
- Initiate contact with insurance companies to obtain eligibility and accurate patient billing information
- Collect copayments, deductibles, coinsurances, deposits, and other patient liabilities
- Estimate patient financial liability and explain liability variables to patients
- Receive and process patient payments for current and past balances
- Ensure pre-certification authorization and/or referrals are in place before services are rendered
- Refer patients to Financial Counselors or the Business Office based on patient needs
- Reschedule appointments when requested or when financial circumstances require postponement
- Enter clear, concise financial clearance notes in the system
- Apply Financial Clearance Policy consistently and assess coverage gaps and patient financial exposure
- Reprioritize work in response to changing situations and perform other assigned duties
Requirements:
- Minimum High School Diploma or G.E.D.; business concentration preferred
- Four plus (4+) years of experience within a business office setting; hospital revenue cycle, physician office, or collection agency preferred
- Prior experience in a healthcare environment required
- Working knowledge of personal computers and business office applications preferred
- Familiarity with hospital computer systems is a plus
- Knowledge of third-party collections and reimbursement preferred
- Ability to verify demographic, financial, and insurance information
- Unless certification, licensure or registration is required, an equivalent combination of education and experience may be substituted
- Ability to work Monday through Friday, 8:00am–4:30pm, 40 hours per week
Benefits:
- Signing bonus may be available, subject to eligibility
- Full-time schedule of 40 hours per week
- Remote work arrangement (Primarily Remote)
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