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Financial Clearance Representative Jobs (NOW HIRING)

Nuvance Health

Manager Financial Clearance

Danbury, CT

$41 - $76.16/hr

Represents the Financial Clearance Department in meetings, on committees, and project teams. 7.Ensures resource management is in line with departmental needs based on expanded hours of operation and ...

Nuvance Health

Manager Financial Clearance

Danbury, CT

$41 - $76.16/hr

Represents the Financial Clearance Department in meetings, on committees, and project teams. 7.Ensures resource management is in line with departmental needs based on expanded hours of operation and ...

Northwell Health

Manager Financial Clearance

Danbury, CT · On-site

$41 - $76.16/hr

Represents the Financial Clearance Department in meetings, on committees, and project teams. 7.Ensures resource management is in line with departmental needs based on expanded hours of operation and ...

Nuvance Health

Manager Financial Clearance

Danbury, CT · On-site

Represents the Financial Clearance Department in meetings, on committees, and project teams. 7.Ensures resource management is in line with departmental needs based on expanded hours of operation and ...

Northwell Health

Manager Financial Clearance

Danbury, CT

$41 - $76.16/hr

Represents the Financial Clearance Department in meetings, on committees, and project teams. 7.Ensures resource management is in line with departmental needs based on expanded hours of operation and ...

Catholic Health

Financial Clearance Lead

Melville, NY

$91K - $119K/yr

Responsibilities The Financial Clearance Lead is responsible to ensure completion and accuracy of ... REPRESENTATIVE RESPONSIBILITIES: In addition to the above responsibilities, the Lead role will also ...

Catholic Health

Financial Clearance Lead

Melville, NY · On-site

$91K - $119K/yr

Job Details The Financial Clearance Lead is responsible to ensure completion and accuracy of ... REPRESENTATIVE RESPONSIBILITIES: In addition to the above responsibilities, the Lead role will also ...

Catholic Health

Financial Clearance Lead

Melville, NY · On-site

$30 - $35/hr

Job Details The Financial Clearance Lead is responsible to ensure completion and accuracy of ... REPRESENTATIVE RESPONSIBILITIES: In addition to the above responsibilities, the Lead role will also ...

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Financial Clearance Representative information

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$31.5K

$71.6K

$115K

How much do financial clearance representative jobs pay per year?

As of Jul 25, 2026, the average yearly pay for financial clearance representative in the United States is $71,627.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,500.00 and $92,000.00 per year, depending on experience, location, and employer.

What are some common challenges Financial Clearance Representatives face when verifying patient insurance and benefits?

Financial Clearance Representatives often encounter challenges such as navigating complex insurance policies, resolving discrepancies in patient information, and communicating effectively with both patients and insurance providers. These challenges require attention to detail, persistence, and strong interpersonal skills. Staying updated on frequent policy changes and using hospital information systems efficiently are also key to ensuring timely and accurate financial clearance for patients.

What is the difference between Financial Clearance Representative vs Insurance Verification Specialist?

AspectFinancial Clearance RepresentativeInsurance Verification Specialist
CredentialsHigh school diploma; some roles may require certification in healthcare billingHigh school diploma; often requires knowledge of insurance policies
Work EnvironmentHospitals, clinics, healthcare facilitiesHospitals, insurance companies, healthcare providers
Employer & Industry UsageHealthcare providers managing patient financial processesInsurance companies and healthcare providers verifying coverage
Common Search & ComparisonFinancial Clearance RepresentativeInsurance Verification Specialist

The Financial Clearance Representative primarily handles patient financial screening, ensuring insurance coverage and collecting payments before services. The Insurance Verification Specialist focuses on confirming insurance details and coverage specifics. While both roles require knowledge of insurance policies and work within healthcare settings, the Financial Clearance Representative emphasizes financial pre-authorization and billing, whereas the Insurance Verification Specialist concentrates on verifying insurance information. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

What are Financial Clearance Representatives?

Financial Clearance Representatives are professionals who work in healthcare settings to ensure that patients have the necessary financial arrangements in place before receiving medical services. Their responsibilities include verifying insurance coverage, obtaining pre-authorizations, estimating patient costs, and discussing payment options. They serve as a crucial link between patients, healthcare providers, and insurance companies to prevent billing issues and ensure smooth financial processes. By securing financial clearance, they help both patients and healthcare organizations avoid unexpected expenses and delays in care.

What are the key skills and qualifications needed to thrive as a Financial Clearance Representative, and why are they important?

To thrive as a Financial Clearance Representative, you need strong knowledge of insurance verification, medical billing, and patient financial services, often supported by experience in healthcare administration or a related field. Familiarity with hospital information systems, insurance portals, and billing software like Epic or Cerner is typically required. Excellent communication, attention to detail, and problem-solving skills help in effectively assisting patients and resolving coverage issues. These competencies are crucial for ensuring accurate billing, minimizing claim denials, and providing a positive patient financial experience.
More about Financial Clearance Representative jobs
What cities are hiring for Financial Clearance Representative jobs? Cities with the most Financial Clearance Representative job openings:
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Financial Clearance Representative jobs near you
Infographic showing various Financial Clearance Representative job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $71,627 per year, or $34.4 per hour.
Financial Clearance Specialist

Financial Clearance Specialist

Signature Healthcare

West Bridgewater, MA • On-site

Full-time

Posted 28 days ago

Signature Healthcare rating

5.3

Company rating: 5.3 out of 10

Based on 170 frontline employees who took The Breakroom Quiz

188th of 238 rated social care providers

Job description

Signature Healthcare is Southeastern Massachusetts’ premier local provider of quality, personalized medical services. We are comprised of the award-winning not-for-profit Signature Healthcare Brockton Hospital; Signature Medical Group (SMG), a multi-specialty physician group of more than 150 physicians practicing in 18 ambulatory locations. We believe our distinctive Signature Healthcare team approach is the way healthcare should be: medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference in the lives and health of our patients.

Position Summary:

Financial Clearance Specialist ensures all necessary information is proactively obtained and verified for proper financial reimbursement of services provided while maintaining a positive patient experience. 

Location: 750 W. Center Street, West Bridgewater, MA

Department: Financial Clearance Specialist

This is a full-time 40 hour/ week position

Responsibilities:

  • Accesses work queues and reports and reviews patient accounts to determine financial clearance status of specific patient services.
  • Takes action on those services without financial clearance.
  • Ensures demographic and patient contact information is complete and verified with the patient or patient representative.
  • Verifies the guarantor type and information and ensures it is assigned to the account correctly. This includes personal/family relations, workers compensation insurance, third parties, behavioral health or others as required.
  • Ensures all possible coverage’s are created and verified, through electronic or manual methods, and all discrepancies are resolved.
  • Validates that coverage’s are assigned to appropriate visit.
  • Collects and validates order-related information including office visit, radiology and surgical orders.
  • Follows up with ordering provider to verify CPT codes.
  • Verifies Primary Care Physician (PCP) information and ensures appropriate PCP referrals are in place for the provider and service by checking electronic systems and calling PCP offices.
  • Enters and links referrals and/or authorizations in system.
  • Processes referrals when necessary, assuring proper tracking and redirection when appropriate.
  • Using system activities and functions, identifies non-covered services and prepares proper Advance Notice Beneficiary (ABN) or waiver for registration team. Documents account for registrar action.
  • Analyzes clinical documentation in support of ordered procedure(s) and submits precertification requests through various insurance fax lines, phone systems and web portals.
  • Follows up on pending accounts and involves ordering provider offices as needed to obtain approvals.
  • Escalates challenging accounts to provider representative to ensure accounts are approved at least two weeks prior to patient appointment/surgery.
  • Verifies covered benefits, including remaining hospital days, carve out coverage’s and benefit limits of visit and/or timeframe.
  • Contacts patients, providers and insurance companies to validate data, collect missing information and resolve information discrepancies.
  • Understands clinical guidelines for payers requiring authorization to better build cases for authorization requests and provide feedback to clinical departments on required notes.
  • Communicates with patients and discusses their financial clearance status when necessary.

Education/Experience/Licenses/Technical/Other:

  1. Education: High school graduate or equivalent
  2. Experience:At least two years prior experience in a health care setting requiring knowledge of insurance coverage, reimbursement, and/or medical terminology and coding.  Experience providing customer service, while processing and verifying electronic demographic, financial or other business-related information and data.  
  3. Certification/Licensure: 
  4. Software/Hardware: Meditech experience preferred.  
  5. Other:

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