Financial Clearance Associate

About the role

The Financial Clearance Associate supports the Financial Clearance Center by ensuring patients receive a seamless experience through accurate verification of insurance eligibility, benefits, and financial requirements. The Financial Clearance Associate also assists with pre-authorizations, financial counseling, and documentation to help maintain smooth financial operations for patient care.

Responsibilities

• Verify patient eligibility using institutional and payor systems within required timeframes
• Obtain and document effective dates and coverage details
• Notify Patient Access and patients promptly when eligibility cannot be verified
• Update and confirm insurance information in accordance with department policies
• Document benefit details including product type, network status, copayments, deductibles, co-insurance, and coverage limits
• Pre-Authorizations & Coverage Review
• Monitor work lists daily to identify required pre-authorizations
• Obtain pre-authorizations from payors or vendors and document reference numbers and contact information
• Review and document clinical trial coverage responsibilities between sponsors and insurers
• Financial Counseling
• Review cost estimates and calculate patient liability
• Discuss payment requirements and collect amounts due
• Explain payment plan options and financial assistance programs
• Submit required documents such as PFA and COBRA for supervisor approval
• Communication & Documentation
• Document all communications with patients, payors, vendors, and internal departments accurately
• Respond to emails, phone calls, and messages within one business day
• Maintain courteous, professional interactions with patients, physicians, payors, and business partners
• Operational Support
• Escalate financial clearance and counseling issues to the Supervisor or Coordinator as needed
• Participate in training and mentoring opportunities
• Perform other duties as assigned

Qualifications

• Experience with insurance verification, benefit interpretation, and patient financial counseling
• Preferred background in healthcare financial systems, pre-authorization workflows, and payor requirements
• Strong communication skills and attention to detail

Benefits

• Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance.
• Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options.
• Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups.
• Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.

Pay

• Minimum $21.88 - Midpoint $27.40 - Maximum $32.93

Schedule

• The typical work schedule is 7am - 7pm plus a 4 hour shift to equal 40 hours per week. Day/Evening, Rotating, Varied, Weekends.

Location

• Work Location: 100% Onsite Required