Financial Clearance Specialist

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Solaris Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🏥 Healthcare

🧬 Biotechnology

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.

📋 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 • Document verification results accurately 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 regarding 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 accurate and timely financial clearance documentation • Participate in daily team huddles and process improvement initiatives • Adhere to ethical conduct, applicable laws, regulations, the Solaris Health Code of Conduct, and organizational policies • Maintain confidentiality of protected health information in compliance with HIPAA • Report suspected concerns or violations and complete Annual Compliance Training • 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 • Proficiency in EHR systems, payer portals, and Microsoft Office • Knowledge of medical terminology, healthcare coding systems, and clinic functions • Strong attention to detail and organizational skills • Excellent communication and problem-solving abilities • Professional verbal and written communication skills • Ability to follow standardized workflows and documentation protocols • Compliance with HIPAA and applicable laws, regulations, and organizational policies • Certifications, licensures, or registry requirements: N/A • Required travel: N/A

🏖️ Benefits

• Competitive pay • PTO • Holiday pay • 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