Financial Clearance Specialist

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Solaris Health

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Healthcare Insurance • Healthcare • Biotechnology

Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🧬 Biotechnology

📋 Description

• 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.

🎯 Requirements

• 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. • High School Diploma or equivalent required. • Associate’s degree in healthcare, business, or related field preferred.

🏖️ 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