Financial Clearance Specialist

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $20 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Savista

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1994

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Savista is a full-service revenue cycle management provider with over 30 years of experience in the healthcare industry. They support healthcare organizations in improving financial outcomes by offering services such as AR management, denial management, clinical documentation integrity, eligibility & enrollment, and HIM outsourcing. Savista works as an extension of healthcare teams to optimize processes and increase efficiency to ensure compliance and drive patient-centered service quality. The company has garnered recognition and industry accolades for its effective and quality solutions.

📋 Description

• Process and verify administrative and financial components of financial clearance, including insurance benefits, medical necessity, pre-certification, prior authorization, scheduling, pre-registration, benefit and cost estimates, and pre-collection of out-of-pocket costs • Obtain pre-certifications, authorizations, and referrals for upcoming appointments • Communicate recommended schedule and care-planning changes to align with authorization requests and payer compliance • Liaise between patients, insurance payors, and providers to obtain prior authorization for prescheduled services • Address issues and provide information and support to patients and physicians concerning financial clearance • Process stat request prioritization • Verify demographic information • Apply payor changes to registration • Edit referral counts and final referral statuses; edit scheduled referral dates; pend referrals to pools; suppress expiring-referral messages; access and manage referral work queues; use referral templates • Apply critical thinking to identify and resolve problems proactively

🎯 Requirements

• High School Diploma or equivalent • 3+ years’ experience with patient registration in a hospital or physician office, directly with obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations • Proficient with commercial and government insurance plans, payer networks, government resources • Proficient with medical and insurance terminology • Strong customer service skills, including ability to understand, interpret, evaluate, and resolve basic to complex service issues • Strong attention to detail and accuracy • Excellent verbal and written communication, telephone etiquette, interviewing, and interpersonal skills to interact with peers, management, patients, client, and external agencies • Ability to work with a variety of stakeholders • Proficient in utilizing a variety of computer applications and software, including Microsoft Office Suite, Internet Explorer, and other relevant programs • Proven track record in roles that involve managing multiple critical priorities, delivering high-quality results, and meeting performance metrics