Financial Clearance Specialist

City of Hope

. Identify insurance companies requiring prior authorization and obtain authorization .

Posted 10/14/2026full-timeIrwindale • California • United StatesMid-LevelSenior💰 $25 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in obtaining insurance authorizations, managing patient information, and coordinating with healthcare providers. Proficient in medical terminology and electronic medical records, with a strong focus on customer service and effective communication.

Highest-signal resume keywords

Insurance Authorization ManagementMedical Terminology ProficiencyElectronic Medical Record ExperiencePatient Communication SkillsUtilization Review Coordination

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance AuthorizationUtilization ReviewPre-Registration FunctionsPatient Demographic VerificationFinancial Clearance ActivitiesChart ReviewAuthorization Request PreparationPatient Liability EstimationAppeal Letter CompositionOncology Practice Experience

Soft Skills

Effective CommunicationRelationship BuildingProblem SolvingStress ManagementCustomer Service

Tools & Technologies

EPIC EMRElectronic Medical Records

Industry Keywords

HealthcareManaged CarePre-CertificationPatient CareReferral Experience

About the role

Key responsibilities & impact

Identify insurance companies requiring prior authorization and obtain authorization
Coordinate authorizations for procedures and testing requested by providers
Review outpatient charts and report to third-party payors
Retrieve chemo/surgery orders and request authorization through insurance companies
Prepare forms required for treatment authorization requests
Work on pending utilization review patients and obtain authorization for the following day
Obtain emergent authorizations for walk-in patients
Verify pre-certification requirements with insurance companies and document them
Educate patients about their insurance policies
Compose letters and memoranda for authorization or denial appeals
Maintain current records on managed care patients
Keep Case Managers updated on BMO and BMT patients
Perform pre-registration functions, including verifying demographic, clinical, financial, insurance, eligibility, consent, and patient/guarantor information
Contact patients, payers, and departments to confirm insurance and demographic information
Refer patients to financial counselors for insurance or payment issues
Identify and resolve issues involving patients, payors, and City of Hope departments
Estimate pricing and notify patients of expected liability and financial responsibility
Collect patient/guarantor liabilities and refer uninsured or underinsured patients for assistance screening
Notify the contracting department about non-contracted insurance and support Letter of Agreement preparation
Perform financial clearance activities for all patient types
Provide customer service and greet patients and visitors
Serve as liaison between patients and support staff
Build effective relationships with colleagues, physicians, providers, leaders, and employees
Communicate with service delivery and other departments to resolve patient-care issues and escalate unresolved issues
Answer daily phone calls and pages from doctors, patients, employees, and insurance companies

Requirements

What you’ll need

High School Diploma or equivalent GED
Three years related healthcare pre-registration/referral experience required
Medical terminology experience required
Electronic medical record experience required
Preferably: At least two years front desk oncology practice experience registering patients and scheduling appointments
EPIC EMR experience preferred
Ability to work Monday–Friday, 8:30 AM–5:00 PM
Ability to communicate effectively with patients, family members, guarantors, physicians, office staff, medical center personnel, and payors
Ability to manage multiple, changing priorities under stressful demands
Ability to maintain composure when dealing with difficult situations

Benefits

Comp & perks

Comprehensive benefits
Hybrid work schedule