Financial Clearance Specialist jobs in United States
cer-icon
Apply on Employer Site
company-logo

Dignity Health · 7 hours ago

Financial Clearance Specialist

Dignity Health is a prominent healthcare organization focused on innovative clinical care and excellence. The Financial Clearance Specialist will apply financial expertise to support strategic goals, analyze financial data, and ensure compliance in financial processes while preparing and submitting claims to insurance companies.

Health CareHospitalMedicalNon Profit
check
H1B Sponsor Likelynote

Responsibilities

Prepares and submits claims to various insurance companies either electronically or by paper
Reconciles and ensures all electronic claim files are received and correctly processed by E-commerce and by the payers
Fully researches and performs follow up on any claim or payer edits via ETM views. Maintain productivity percentage at the rate established for the Fiscal Year goal
Acts as a highly skilled specialist and subject matter expert in EDI requirements and submission format
Ensures the accuracy of claims for reimbursement by gathering and processing information needed to complete medical insurance claims
Maintains average QA percentage at the rate established for the Fiscal Year goal

Qualification

Electronic billing processesClaims payment lawsMedical terminologyExcel proficiencyGoogle/Microsoft OfficeAnalytical skillsAttention to detailCommunication skillsProblem-solvingTime management

Required

High School Diploma or GED
One (1) year experience in electronic billing processes and proficiency with electronic data applications
Four (4) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment
AHCCCS/ Medicare/government Commercial payer experience
HCFA 1500 billing experience
Must have an aptitude for systems applications and be proficient in Excel and all Google/Microsoft Office products
Must have a working knowledge of claims payment laws, as well as medical terminology
Must be a detail oriented problem-solver with good time management skills and the ability to work independently or as part of a team
In addition to possessing solid office and analytical skills, they must also be effective communicators so that they can resolve issues in a fast-paced environment

Preferred

One (1) year experience in Physician front office to include registering patient demographics and insurance, and verifying eligibility

Company

Dignity Health

company-logo
Dignity Health is a healthcare facility that offers physical, mental, and spiritual care.

H1B Sponsorship

Dignity Health 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 (44)
2024 (55)
2023 (38)
2022 (37)
2021 (33)
2020 (20)

Funding

Current Stage
Late Stage
Total Funding
unknown
2019-02-01Acquired

Leadership Team

leader-logo
Gena Bravo
President/CEO
linkedin
leader-logo
Linda Tautz RN, BSN, MBA
Regional Chief Executive Officer
linkedin
Company data provided by crunchbase