Apply on Employer Site

Logan Health · 2 weeks ago

Financial Clearance Specialist

Kalispell, Montana

Full-time

Onsite

Entry, Mid Level

2+ years exp

Logan Health is a community-focused healthcare provider in Montana, dedicated to delivering exceptional care. The Financial Clearance Specialist will ensure a smooth patient experience by verifying insurance, estimating costs, and supporting clinic teams in providing quality care.

Health Care

Responsibilities

Verify insurance eligibility, benefits, and patient liability to prevent denials or penalties

Accurately document insurance and payment information to optimize reimbursement and avoid write-offs

Maintain up-to-date knowledge of insurance plans, contract requirements, and best practices for insurance verification

Confirm and secure benefits coverage with insurance companies and employers; ensure demographic data is correct

Cross-reference Medicare accounts and coordinate benefit statuses as needed

Determine and process pre-certification or referral requirements per protocol

Communicate with providers regarding out-of-network barriers and document accordingly

Estimate and collect patient liability prior to service, following cash management policies

Maximize collection of co-pays and other balances per department protocol

Review and resolve accounts on hold to ensure timely billing

Partner with the Authorization team to obtain payer authorizations and referrals

Ensure compliance with HIPAA and all insurance process regulations

Continue developing your skills to keep up with changes in insurance and reimbursement rules

Maintain regular and consistent attendance as scheduled by department leadership

Qualification

Healthcare insurance knowledgeBenefit verificationReimbursement rulesMicrosoft Office SuiteMedical terminologyMedical codingAnalytical skillsOrganizational skillsCommunication skillsInterpersonal skillsCritical thinkingTeam collaboration

Required

2+ years of experience in registration, financial clearance, or patient financial services, with strong healthcare insurance knowledge

Excellent understanding of insurance coverage, benefit verification, and reimbursement rules

Strong math and analytical skills

Proficiency with Microsoft Office Suite and the ability to learn new software

Highly organized, detail-oriented, and able to set priorities

Excellent verbal and written communication skills; comfortable interacting with a variety of audiences

Strong interpersonal skills with professionalism, tact, and diplomacy

Critical thinker; works well independently and as part of a team

Commitment to confidentiality and team collaboration

Minimum of two (2) years' work experience in registration, financial clearance or patient financial services with strong working knowledge of healthcare insurance and benefit programs required

Excellent knowledge of applicable rules and guidelines governing traditional insurance coverage and reimbursement required

Strong math and analytic skills required

Possess and maintain computer skills to include working knowledge of Microsoft Office Suite required. Possess ability to learn other software as needed

Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently

Commitment to working in a team environment and maintaining confidentiality as needed

Excellent verbal and written communication skills including the ability to communicate effectively with various audiences

Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy