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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 ...

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 29, 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 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.

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 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.

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Cities with the most Patient Financial Clearance Representative job openings:

What states have the most Patient Financial Clearance Representative jobs?

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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 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $38,182 per year, or $18.4 per hour.

Patient Financial Clearance Representative

Saint Joseph, MO • On-site

Mosaic Life Care
Health Care and Social Assistance • 1 - 5K employees

6.6

Company rating: 6.6 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

573rd of 895 rated healthcare providers

People enjoy working here

Recommended by students

Recommended by parents

Learn more about Mosaic Life Careexternal

$16.75 - $18/hr

Full-time

Medical, Vision, Life

Posted 5 days ago

Job description


The Patient Financial Clearance Representative works under the direction of the Manager responsible for ensuring all financial record are accurate and in place prior to the patient's arrival. The Patient Financial Clearance Representative possesses the highest customer services skills as the first touch in the patient experience chain. The Patient Financial Clearance Representative sets the tone for what is the first and can be the lasting impression of the patient's perception of Mosaic Life Care. Works as a liaison between Ordering Offices and Mosaic Life Care for obtaining patient information and prior authorization detail for scheduled services. Pre-certifies insurance for scheduled procedures and/or tests to expedite reimbursement and avoid authorization penalties.
Responsibilities
  • Makes outbound calls pre-service to for patients that have upcoming services scheduled with Mosaic Lifecare. Maintains a professional and courteous tone of voice and communication clearly with the patient.
  • Reviews patients estimated out of pocket amount due for services for both Clinic and Medical Center services and requests payment over the phone prior to service. Also communicates any previous balance due from the patient on past balances.
  • Communicates the Mosaic Lifecare Financial Assistance Policy and based on need determined by the PARO score and evaluates the patients need.
  • Discusses any out of network and non-covered services with the patient to ensure the patient is prepared for any out of pocket expenses prior to service.
  • Reviews and confirms patients insurance is eligible for the date of service. Research any patient that is not eligible to identify other coverage.
  • If the patient is unable to pay their estimated out of pocket the Patient Financial Clearance representative will evaluate the patient's ability to qualify for Mosaic's loan financing program.
  • Confirms with the patient the accuracy of all registration data fields and updates any necessary changes to the patient's demographic information.
  • Verifies the patients' health insurance information with the patient to ensure accuracy of billing.
  • De-escalates patient complaints related to current or past due balances. Researches the Patient Accounting system to assist the patient with any questions related to previous visits related to registration, charging, and billing.
  • Complies with department standard for length of call, speed to answer, and aids in the prevention of abandoned calls.
  • Other duties as assigned

Education
  • H.S. Diploma - Preferred
  • Associate's Degree - Preferred

Work Experience
  • 1 Year - Experience with pre-access services policies - Required

Licenses and Certifications
  • Upon Hire

Travel Requirements
  • Travel to off-site locations may be required. - Required

Qualifications
Skills and Abilities
Essential Technical/Motor Skills
  • Communicates clearly and concisely; good hand eye coordination

Interpersonal Skills
  • Excellent oral and written communication skills.
  • Maintains good rapport and professional relationship with caregivers.
  • Demonstrates excellent customer service skills by maintaining friendly, courteous and helpful behaviors.

Essential Physical Requirements
  • Ability to operate equipment on continuous/repetitious basis such as computer, telephone, fax and copier.
  • Multi-skilled responsibilities require sitting, walking and standing.

Essential Mental Abilities
  • Analyze and interpret data.
  • Excellent short term and long term memory.
  • Ability to perform multiple tasks and follow system policies and procedures.

Essential Sensory Requirements
  • Visually assess paper and electronic data, hear telephone and converse

Exposure to Hazards
Other Skills and Abilities
  • Demonstrated self-starter.
  • Excellent oral, written, and interpersonal communication skills; excellent organizational skills.
  • Ability to quickly assess and respond appropriately to emergency situations.
  • Ability to comprehend medical terms.
  • Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles.
  • Knowledge and experience with a variety of information systems and Internet usage; experience with spreadsheet and word processing software.
  • Ability to work independently and manage individual workload to meet productivity standards along with a varied schedule, which includes weekend and evening coverage.

About Us
Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.
Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.

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