Financial Clearance Specialist
$44,283,200–$57,553,600 year
On-siteChicago, Illinois, United States
Chicago, Illinois, United StatesOn-siteFull Time$44,283,200–$57,553,600 yearMid LevelHospital And Health CareEnterprise
Full TimeMid LevelEnterpriseHospital And Health Care
Job Summary
Manage patient financial clearance, verify insurance eligibility, and facilitate pre-authorization for diagnostic exams and scheduled surgeries to ensure timely reimbursement. Collect and verify critical demographic and clinical data, perform medical necessity checks, and resolve billing issues by consulting physicians and navigating EPIC systems. Monitor admission and registration flows, address service recovery for denied accounts, and maintain HIPAA-compliant documentation while adhering to Fair Patient Billing Act guidelines.
Required Qualifications
- High School Diploma or equivalent
- 2-3 years previous hospital billing, insurance follow-up, or customer service in a hospital setting
- Excellent interpersonal, verbal, and written communication skills
- Proficiency in computer data-entry/typing
- Ability to read, write, and communicate effectively in English
- Basic computer skills
- Ability to type 40 wpm
- Ability to multi-task
- Customer service oriented
- Excellent organizational, time management, analytical, and problem solving skills
- Must be able to lift 50 lbs
Desired Qualifications
- Bachelors Degree
- Additional language skills
- Healthcare finance and/or healthcare insurance experience
- Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration
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