Financial Clearance Specialist - Beverly

Medical Care of Boston Management Corporation(2 months ago)

OnsiteFull TimeMedior$41,000 - $55,180Revenue Cycle

About this role

A Referral Authorization specialist at Beth Israel Lahey Health performs financial clearance for outpatient services, ensuring insurance eligibility, medical necessity, and authorization requirements are met. The role coordinates with payers, clinical teams, and revenue cycle peers to document outcomes and support operational reporting. This is an onsite position in Beverly, MA, with regular weekday hours.

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Required Skills

Insurance Verification
Medical Necessity
Prior Authorization
CPT Coding
ICD Coding
HCPCS Coding
Excel
Customer Service
Reporting
Data Entry

+1 more

Qualifications

High School Diploma or GED
Associate's Degree (Preferred)

About Medical Care of Boston Management Corporation

cms.gov

The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services (HHS) that administers the nation's major healthcare programs, including Medicare and Medicaid. CMS is responsible for overseeing the healthcare system in the United States, ensuring access to high-quality healthcare services and improving health outcomes for its beneficiaries. Through its initiatives and regulations, CMS aims to provide a more transparent healthcare system and reduce costs while enhancing care delivery across the nation.

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