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Patient Financial Clearance Representative Jobs (NOW HIRING)

Kaleida Health

Financial Clearance Rep

Olean, NY · On-site

Financial Clearance Rep Location: Olean General Hospital Location of Job : US:NY:Olean Work Type : Full-Time Shift 1 Under the direction of the assigned supervisor or manager of Revenue Cycle ...

Roswell Park Comprehensive Cancer Center

$53K/yr

... for patient financial questions and concerns Provide guidance, training, and support to Financial Clearance Representatives and Payment Services team members What You'll Bring We're looking for ...

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How much do patient financial clearance representative jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for patient financial clearance representative in the United States is $18.36, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $18.03 per hour, depending on experience, location, and employer.

What does a patient financial clearance representative do?

A Patient Financial Clearance Representative is responsible for verifying patients' insurance coverage, obtaining necessary authorizations, and ensuring that all financial aspects of a patient's care are addressed before medical services are provided. They work closely with patients to explain financial responsibilities, estimate out-of-pocket costs, and assist with payment arrangements if needed. Their role helps to ensure smooth billing processes and minimize unexpected expenses for both the healthcare facility and the patient.

What is the difference between Patient Financial Clearance Representative vs Patient Access Representative?

AspectPatient Financial Clearance RepresentativePatient Access Representative
CredentialsHigh school diploma; some roles may require certification in healthcare billing or customer serviceHigh school diploma; often similar certifications in customer service or healthcare administration
Work EnvironmentHospitals, clinics, outpatient facilities focusing on pre-authorization and insurance verificationHospitals, clinics, outpatient settings handling patient registration and scheduling
Primary ResponsibilitiesVerifying insurance, obtaining authorizations, ensuring financial eligibilityRegistering patients, scheduling appointments, collecting demographic info

The Patient Financial Clearance Representative primarily focuses on verifying insurance and financial eligibility before services, while the Patient Access Representative handles patient registration and scheduling. Both roles are essential in healthcare settings and often overlap in customer service skills, but their core responsibilities differ in the patient intake process.

What is a patient financial clearance representative associate job description?

A patient financial clearance representative is responsible for verifying patients' insurance coverage, collecting preliminary financial information, and obtaining necessary authorizations before medical services are provided. They often use electronic health record systems and require strong communication skills to coordinate with patients and healthcare providers. This role helps ensure accurate billing and reduces financial delays for healthcare facilities.

What are some common challenges patient financial clearance representatives encounter, and how are they typically addressed?

Patient Financial Clearance Representatives often face challenges such as navigating complex insurance policies, verifying patient eligibility, and handling sensitive financial discussions. To address these, representatives receive thorough training on insurance processes and communication skills, enabling them to provide clear, compassionate guidance. They also collaborate closely with billing, clinical, and insurance teams to resolve discrepancies and ensure a smooth patient experience. Staying detail-oriented and proactive in follow-ups helps them manage these responsibilities effectively.

What are the key skills and qualifications needed to thrive as a patient financial clearance representative, and why are they important?

To thrive as a Patient Financial Clearance Representative, you need a strong understanding of healthcare billing, insurance verification, and patient financial counseling, typically supported by a high school diploma or associate degree. Familiarity with hospital information systems, electronic health record (EHR) platforms, and insurance portals is commonly required. Excellent communication, attention to detail, and problem-solving abilities help build rapport with patients and ensure accuracy. These skills are crucial for ensuring patients' financial responsibilities are clearly communicated, reducing claim denials, and supporting the overall revenue cycle process.
More about Patient Financial Clearance Representative jobs
What cities are hiring for Patient Financial Clearance Representative jobs? Cities with the most Patient Financial Clearance Representative job openings:
What states have the most Patient Financial Clearance Representative jobs? States with the most job openings for Patient Financial Clearance Representative jobs include:
What job categories do people searching Patient Financial Clearance Representative jobs look for? The top searched job categories for Patient Financial Clearance Representative jobs are:
Patient Financial Clearance Representative jobs near you
Infographic showing various Patient Financial Clearance Representative job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 70% Full Time, 19% Part Time, and 8% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $38,182 per year, or $18.4 per hour.

Patient Financial Clearance Representative - One Capital Square - Remote

VCU Health System

Richmond, VA • Remote

$17 - $18.50/hr

Full-time

Medical

Re-posted 21 days ago

VCU Health rating

7.3

Company rating: 7.3 out of 10

Based on 171 frontline employees who took The Breakroom Quiz

305th of 887 rated healthcare providers

Job description

The Patient Fin Clearance Rep is responsible for the entire scope of financial clearance activities for assigned patients before the scheduled appointment date. Financial clearance includes, but is not limited to, confirming completeness of patient registration data, verifying insurance eligibility, confirming health plan benefits, procuring PCP referrals and health plan authorizations, calculating/ collecting patient liability estimate, restricting/redirecting out of network patient, and communicating patient financial responsibility.
The Patient Fin Clearance Rep ensures patient financial responsibility is communicated with consistency, clarity and transparency to ensure patients understand the cost of services they receive, their insurance coverage and limitations, and their individual responsibility. Successful performance of job duties directly impacts health system goals of streamlining clinical operation work flows as well as improving revenue cycle operations and financial performance.Licensure, Certification, or Registration Requirements for Hire: N/A Licensure, Certification, or Registration Requirements for continued employment: N/A Experience REQUIRED: Minimum three (3) years of previous experience in a health care setting to include: Experience in commercial, managed care and governmental health insurance plans and One (1) year experience in insurance plan authorization and referral requirements; or Medical billing Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc. Strong customer service skills and patients/customers centered focus in a positive manner in all situations Experience PREFERRED: Previous experience using GE-IDX Patient Registration or other medical billing/registration system Previous experience in ICD and CPT coding Previous experience using medical terminology Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Post high school education in healthcare or medical billing coursework Independent action(s) required: Collects and updates patient demographic and insurance plan information Verifies insurance plan eligibility and benefits using multiple system and web-based tools, as well as calling payer and patient as necessary Calculates out-of-pocket liability and collects required deposits, co-pays, deductibles and outstanding balances from patient prior to service Refers patients to financial counselors when assistance needed to identify alternate payer source or establish payment plan Contacts in-house and community primary care physicians to secure PCP referral for consult and treatment as required by health plan Contacts health plan to secure prior authorization for procedures/testing as required by health plan Coordinates peer-to-peer review between VCUHS physicians and health plan medical directors to secure prior authorization for services Prepares all forms required to obtain payment from third party payer for services Determines when appropriate to apply additions/revisions to patient account and current visit Maintains thorough knowledge of commercial, managed care and governmental health care plans Maintains thorough knowledge of insurance plan authorization and referral requirements Supervisory responsibilities (if applicable): N/A Additional position requirements: May require work hours to periodically extend to 8:00 p.m. as necessary to resolve backlog or to contact patients for registration data. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical - Lifting 20-50 lbs. Activities: Prolonged sitting, Reaching (overhead, extensive, repetitive), Repetitive motion, Other: Prolong PC/keyboard usage Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking, Other: Concentrate/Focus Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change

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