St. Luke's Health System · 1 day ago
Financial Clearance Specialist - 140131
Boise, ID
Full-time
Onsite
Entry Level
1+ years expSt. Luke's Health System is dedicated to fostering a supportive workplace culture and providing excellent patient care. The Financial Clearance Specialist ensures a seamless patient experience by verifying financial eligibility and securing prior authorizations, while collaborating with patients and insurance companies to facilitate accurate financial clearance for medical services.
Health CareHospitalNon ProfitPrimary and Urgent Care
Responsibilities
Obtain pre-authorizations and referrals from insurance companies to include submission of medical records and authorization documentation
Create patient liability estimates based on the plan's policy and benefits. Inform patients of their financial responsibility and collect payment towards out-of-pocket costs
Validate CPT codes associated with procedure are accurate
Verify patients' insurance coverage including multiple payer and government payers
Verify co-pays, deductibles and out-of-pocket patient responsibility Work with medical staff to ensure timely and accurate financial clearance including coordinating peer-to-peer reviews and obtaining medical record documentation for insurance companies
Ensure patients and family members stay informed of pre-authorization status. Generate and deliver non-covered services, referring patients to possible financial assistance when necessary
Monitor payer's network status and communicate status to patients. Initiate gap authorization and single-case agreement workflows when appropriate
Accurately document all financial clearance activities in the patient's electronic health record (EHR)
Confirm provider associated with procedure is credentialed with payer
Respond to e-mails and phone calls from patients and staff members requesting cost estimates
This position works under general supervision resolving typically straightforward issues, escalates more complex problems to senior levels
Performs other duties as required
Qualification
Required
Education: HSD/GED
Experience: One (1) year relevant experience
Benefits
Robust benefits package
Competitive salary
Retirement plans
Medical, dental, and vision offerings
On-site massages
On-site counseling via our Employee Assistance Program
Access to the Personify Health Wellness tool
Formal training and career development offerings
Company
St. Luke's Health System
St. Luke's Health System is a healthcare facility offering internal medicine and urgent care services.
10001+ employees
H1B Sponsorship
St. Luke's Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (9)
2023 (7)
2022 (1)
2021 (7)
2020 (3)
Funding
Current Stage
Late StageLeadership Team
Kate Fowler, FACHE, CPA
SVP, Chief Financial Officer
Dani Jones, M.Coun
Chief Operating Officer, Health Partners
Recent News
HealthCareIT News
2025-11-21
Company data provided by crunchbase