Solaris Health logo
Solaris Health

Solaris Health is a national healthcare platform to enhance access to specialty healthcare and improve patient outcomes.

Financial Clearance Specialist

Financial Planning and AnalysisFinancial Planning and AnalysisFull TimeRemoteSeniorTeam 1,001-5,000Since 2020H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

14 hours ago

Salary

0

Seniority

Senior

High School3 yrs expEnglish

Job Description

Financial Clearance Specialist

Solaris Health

• 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 based on payer requirements. • Monitor and follow up on pending authorizations to avoid delays in patient care. • Address denied or delayed authorizations with payers and escalate unresolved issues to the Supervisor as needed. • Coordinate with clinical staff to gather and submit necessary documentation for authorization approval. • Notify appropriate teams of coverage issues, authorization status, or patient financial risk. • Communicate with patients regarding their insurance coverage, financial responsibilities, and authorization outcomes when appropriate. • Collaborate with schedulers and front-desk teams to ensure appointments align with insurance requirements. • Follow standardized workflows and documentation protocols as outlined by the Supervisor. • Maintain accuracy and timeliness in all financial clearance documentation. • Participate in daily team huddles and contribute to process improvement initiatives.

Job 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 clinics functions

Benefits

  • 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

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