Remote Financial Clearance Jobs in Spring, TX (NOW HIRING)

We are seeking a detail-oriented and experienced RCM Eligibility Specialist to join our team on a contract-to-hire basis. This fully remote position plays a critical role in ensuring the timely and accurate financial clearance of patient accounts.

The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has a strong background in eligibility verification, claim error resolution, and clean claim submission.

Responsibilities

1. Eligibility Verification

• Conduct thorough reviews of patient insurance coverage and benefit eligibility for laboratory services.
• Communicate with teammates, clinics, patients, and insurance companies to verify coverage and resolve discrepancies.
• Accurately document eligibility information within the revenue cycle management system.

2. Claim Error Processing

• Analyze and resolve claim errors identified by the RCM system, including coding and billing discrepancies.
• Collaborate with teammates to resolve errors and ensure compliance with internal policies and procedures.
• Identify and resolve issues related to medical necessity.
• Perform other duties as assigned.

Qualifications

• College degree preferred, or equivalent experience (5+ years).
• Minimum of 5 years of experience in medical billing, eligibility verification, or financial clearance.
• Strong understanding of HIPAA regulations and proper handling of protected health information (PHI).
• Working knowledge of insurance policies, billing procedures, and claim terminology.
• Excellent communication and interpersonal skills.
• Highly detail‑oriented with strong analytical and problem‑solving abilities.
• Preferred experience with laboratory billing platforms such as Telcor, Xifin, or Quadax.

Skills

• Strong knowledge of insurance guidelines, CPT/ICD‑10 coding, and medical terminology.
• Exceptional attention to detail and time management.
• Strong communication and problem‑solving skills.
• Proficiency with Microsoft Office and healthcare software tools.