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Remote Financial Clearance Jobs (NOW HIRING)

Trinity Health

... fully remote position, must be within driving distance of a Michigan Trinity Health hospital ... Must possess a comprehensive knowledge of financial clearance and insurance verification processes ...

VRS Inc

Patient Registration Specialist - Remote

$18.50 - $24.50/hr

This individual is also responsible for financial clearance functions on assigned scheduled ... Great co-workers Remote Work Technical Requirements * Minimum internet bandwidth requirements ...

R1

Phare Access Optimization Manager

$65K - $116K/yr

Apply expertise in Patient Access workflows (registration, financial clearance, scheduling, and ... • Remote • Noise Level -Quite • Climate Controlled For this US-based position, the base pay ...

CommonSpirit Health

$146.90 - $205.66/hr

You'll have expertise in patient registration systems, financial clearance workflows, digital ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...

ITC Federal, Inc.

Financial Analyst

Financial Analyst AGENCY SUPPORTED: U.S. Department of Justice (DOJ) - MEGA 6 Automated Litigation ... Remote CLEARANCE: Public Trust - Candidates do not need to be cleared at the time of application ...

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Remote Financial Clearance information

What are the key skills and qualifications needed to thrive in the Remote Financial Clearance position, and why are they important?

To excel as a Remote Financial Clearance professional, you need a solid understanding of healthcare billing, insurance verification, and patient account management, typically supported by experience in medical finance or revenue cycle management. Familiarity with electronic health record (EHR) systems, insurance portals, and medical billing software—along with any relevant certifications in healthcare finance—is highly useful. Excellent attention to detail, problem-solving skills, and effective written and verbal communication abilities set top performers apart. These competencies are crucial for ensuring accurate and timely insurance verification, patient pre-authorization, and financial transparency within remote healthcare operations.

What is a Remote Financial Clearance job?

A Remote Financial Clearance job involves verifying a patient's insurance coverage, benefits, and financial responsibility before medical services are provided. Professionals in this role work remotely to assess eligibility, obtain authorizations, and communicate payment estimates to patients. They collaborate with healthcare providers, insurance companies, and billing departments to ensure a smooth billing process. Strong attention to detail and knowledge of medical insurance policies are essential for success in this role.

What are some of the daily responsibilities of a Remote Financial Clearance professional?

A Remote Financial Clearance professional is responsible for verifying insurance coverage, obtaining pre-authorizations, and ensuring patient accounts are cleared for scheduled procedures or services. This typically involves communicating with insurance companies, reviewing patient documentation, and updating clearance statuses in digital records. You may also be responsible for addressing patient questions about coverage, deductibles, and out-of-pocket costs. The role requires accuracy, organization, and the ability to manage several cases simultaneously, often collaborating remotely with schedulers, billing teams, and other healthcare staff.

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Remote Financial Clearance jobs near you
Prior Authorization Specialist (Remote, Contract Only)

Prior Authorization Specialist (Remote, Contract Only)

Medix

Minneapolis, MN • On-site, Remote

$24/hr

Full-time

Posted 28 days ago

Key responsibilities

  • Initiate and follow up on authorizations for inpatient and outpatient services including Radiology, Infusion, Surgical, and Diagnostic/Procedural Cardiology.

  • Interact directly with payers to verify benefits and secure notice of admissions.

  • Utilize EPIC eligibility reports to verify insurance and document all actions accurately.

Job description

We are seeking a detail-oriented and motivated Prior Authorization Specialist to join our team in a fully remote capacity, on a temporary basis. This role is critical to the revenue cycle, ensuring that insurance authorizations, benefits, and price estimates are accurately secured before patients receive care.
You will be part of a dynamic team supporting five facilities across multiple specialties, including Radiology, Infusion/Injections, and Surgery. While you will be assigned specific facilities, you will also support our "sister facilities" to ensure seamless operations across the network.
Position Overview
  • Work Hours: 9:00 AM - 5:00 PM EST
  • Location: 100% Remote
  • Volume: Approximately 1,700 - 2,000 cases per month (Average annual volume of 20,230)
  • Software: All work is managed through EPIC work queues.

Key Responsibilities
  • Authorization & Verification: Initiate and follow up on authorizations for inpatient and outpatient services (Radiology, Infusion, Surgical, Diagnostic/Procedural Cardiology, etc.).
  • Payer Relations: Interact directly with payers to verify benefits and secure notice of admissions. You will work with NY State Medicare, Wellcare, Fidelis, Humana, Aetna, and United Healthcare.
  • Financial Clearance: Aim to achieve a 95% financial clearance rate at least one day prior to service, with a long-term goal of clearing cases 14 days out.
  • Data Accuracy: Utilize EPIC eligibility reports to verify insurance and document all "touches" accurately.
  • Efficiency: Maintain a production pace of 6-12 minutes per touch to meet a goal of 80% of total KPI targets.

Qualifications
Must-Haves:
  • Proficiency with EPIC (Experience with EPIC work queues is essential).
  • Prior experience or strong understanding of Insurance Authorizations.
  • Solid command of Medical Terminology.

Nice-to-Have Skills:
  • Experience specifically within Radiology, Infusion, or Surgical specialties.

Note on Experience: While specific years of experience in this exact role aren't required, you must be comfortable navigating healthcare portals.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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