Senior Financial Clearance Specialist

Medical Care of Boston Management Corporation(1 month ago)

OnsiteFull TimeMedior$43,060 - $57,960Patient Financial Services

About this role

The Financial Clearance Specialist ensures all information needed for proper financial reimbursement of high-dollar patient care is verified and submitted to insurers prior to the patient’s date of service. The role involves validating benefits, eligibility, and referral requirements with payors and communicating payment obligations and resolution steps to patients while supporting a positive patient experience.

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Required Skills

Insurance Verification
Eligibility Verification
Referral Processing
Precertification
Patient Communication
Customer Service
Claims Research
Data Entry
Benefit Validation
Provider Coordination

Qualifications

High School Diploma

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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