Financial Clearance Specialist
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Job Description
Financial Clearance Specialist verifying patient insurance and prior authorizations for Solaris Health Holdings. Supporting compliant, timely access to healthcare services.
Responsibilities:
- Verify insurance coverage and benefit information using payer portals, clearinghouses, and direct communication with insurers
- Confirm plan status, effective dates, co-pays, deductibles, coinsurance, and authorization requirements
- Accurately document verification results in the EHR and/or PM
- Submit prior authorization requests for services, tests, and procedures
- Monitor and follow up on pending authorizations to avoid delays in patient care
- Address denied or delayed authorizations and escalate unresolved issues to the Supervisor
- Coordinate with clinical staff to gather and submit documentation for authorization approval
- Notify appropriate teams of coverage issues, authorization status, or patient financial risk
- Communicate with patients about insurance coverage, financial responsibilities, and authorization outcomes
- Collaborate with schedulers and front-desk teams to align appointments with insurance requirements
- Follow standardized workflows and documentation protocols
- Maintain accuracy and timeliness in financial clearance documentation
- Participate in daily team huddles and process improvement initiatives
- Perform other position-related duties as assigned
Requirements:
- High School Diploma or equivalent required
- Associate’s degree in healthcare, business, or related field preferred
- 1–3 years of experience in insurance verification, medical authorizations, or revenue cycle operations
- Knowledge of commercial, Medicare, Medicaid, and managed care insurance plans
- Strong attention to detail and organizational skills
- Proficiency in EHR systems, payer portals, and Microsoft Office
- Excellent communication and problem-solving abilities
- Professional verbal and written communication skills
- Knowledge of medical terminology, healthcare coding systems, and clinic functions
- Must adhere to applicable laws, regulations, Solaris Health Code of Conduct, and organizational policies
- Must maintain patient health information confidentiality in compliance with HIPAA
- Must complete Annual Compliance Training
Benefits:
- Competitive pay
- PTO
- Holiday pay
- Comprehensive benefits package
- Health insurance
- Dental insurance
- Vision insurance
- Life Insurance
- Pet Insurance
- Health savings account
- Paid sick time
- Paid time off
- Paid holidays
- Profit sharing
- Retirement plan
- No weekends, evenings, or holidays
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