Financial Clearance Specialist III

A company is looking for a Financial Clearance Specialist III - Authorizations Oncology.

Key Responsibilities

Process financial clearance components including insurance validation, pre-certification, and patient cost estimates

Initiate and track referrals and authorizations, working with physician offices to obtain necessary clinical data

Assist management with denial issues and coordinate services with providers and clinics

Required Qualifications

Proficient knowledge of Medicare, Medicaid, and commercial insurances related to account receivables

Minimum 3-5 years of experience in healthcare billing and reimbursement analysis

Knowledge of medical terminology and coding, particularly in oncology

High School Diploma or equivalent

Basic working knowledge of UB04 and Explanation of Benefits (EOB)