UMass Memorial Health · 1 week ago
Financial Clearance Spec-REMOTE
United States
Full-time
Remote
Mid Level
$20.94/hr - $33.59/hr
4+ years expUMass Memorial Health is a premier health system in Central Massachusetts, dedicated to exceptional patient care and academic excellence. The Financial Clearance Specialist is responsible for assessing and verifying patient information for medical services, ensuring accurate financial liability collection, and providing excellent customer service in the pre-registration process.
DiabetesEducationHealth CareHospitalMedicalPersonal Health
Responsibilities
Initiates contact with insurance companies to obtain eligibility, gather accurate patient billing information, and performs collections with outstanding accounts receivable
Accurately estimates the patient financial liability (copayments, deductibles, coinsurances, deposits, etc. via obtaining accurate demographic and financial information). Answers patient inquiries regarding their liability and able to explain the variables involved
Receives and processes patient payments
Ensures pre-certification authorization and or referral is in placement prior to service being rendered
Appropriately referring patients to Financial Counselors or Business Office dependent on need of patient
Reschedules appointments when requested by patient or, under advisement of department leader, when due to financial circumstances appointment requires postponement
Enters clear, concise notes concerning financial clearance status in system based on communications
Demonstrate knowledge and understanding of all job-related policies and procedures and adheres to and consistently applies the Financial Clearance Policy in all patient cases
Assesses gaps in patient coverage to determine patient financial exposure prior to rendering service
Consistently demonstrates ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary
Performs other duties as assigned, or directed, to ensure smooth operation of the department/unit
Qualification
Required
Minimum High School Diploma, or G.E.D., business concentration preferred
Four plus (4+) years of experience within a business office setting, hospital revenue cycle preferred, Physician office or collection agency
Prior experience in a healthcare environment required
Preferred
Associate degree, or higher, preferred
Working knowledge of personal computers and business office applications preferred
Familiarity with hospital computer systems is a plus
Knowledge of third party collections and reimbursement preferred
Benefits
Signing bonus
Company
UMass Memorial Health
UMass Memorial Health is the health and wellness partner of the people of Central Massachusetts.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$4.7MKey Investors
Federal Emergency Management Agency
2022-12-01Grant· $4.7M
Leadership Team
Victoria L. McCandless
Senior Vice President, Chief of Staff, System CEO Communications Officer
Sergio Melgar
EVP & CFO
Recent News
2025-11-12
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