Patient Financial Clearance Specialist

Job description

Job Summary: The Financial Clearance Specialist plays a crucial role in ensuring the financial stability of the organization by managing the authorization processes for surgical procedures and patient admissions. This position is responsible for submitting Notices of Admissions (NOA) to payers, securing surgical authorizations, verifying surgical authorizations are on file, and providing patients with accurate cost estimates for services. The Financial Clearance Specialist ensures compliance with the No Surprises Act, helping the organization maintain compliance with federal regulations. Obtaining timely and accurate authorization information, prior to performing services, reduces claim denials, ensures payer compliance, and establishes better organizational financial outcomes. Patient experience and provider relations are enhanced through the smooth transition of this roles responsibilities of securing the authorizations and providing accurate estimates. This role is key to maintaining the smooth operation of patient care and experience, while safeguarding timely reimbursements from insurers. Duties and Responsibilities: Request and obtain prior authorizations via the insurance ca...