Financial Clearance Specialist

City of Hope

. Identify insurance companies requiring prior authorization and obtain authorization.

Posted 10/27/2026full-timeIrwindale • California • United StatesMid-LevelSenior💰 $26 - $36 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in obtaining prior authorizations, coordinating patient procedures, and managing insurance verification processes. Proficient in utilizing electronic medical records and communicating effectively with patients and healthcare providers.

Highest-signal resume keywords

Prior Authorization ManagementHealthcare Pre-Registration ExperienceMedical Terminology ProficiencyElectronic Medical Record (EMR) ExperiencePatient Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance VerificationUtilization ReviewPatient RegistrationAuthorization Request PreparationFinancial Clearance Activities

Soft Skills

Customer ServiceEffective CommunicationProblem-SolvingProfessionalismAdaptability

Tools & Technologies

EPIC EMR

Industry Keywords

Managed CareOutpatient Chart ReviewOncology PracticeFinancial CounselingPatient Liability Estimation

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 for treatment authorization requests.
Work on pending utilization review patients and obtain authorization for the following day.
Obtain emergent authorizations from walk-in patients.
Verify insurance requirements and document pre-certification needs.
Educate patients about their insurance policies.
Compose letters and memoranda for authorization or appeals.
Maintain current records on managed care patients and update Case Managers.
Perform pre-registration, including demographic, clinical, financial, insurance, eligibility, consent, and patient/guarantor information verification.
Contact patients, payers, and departments to confirm insurance and demographic information.
Refer patients to financial counselors for insurance or payment issues.
Resolve patient-related issues with patients, payors, and internal departments.
Estimate patient pricing, notify patients of liabilities, and collect patient/guarantor liabilities.
Refer uninsured or underinsured patients for financial assistance and governmental program screening.
Notify the contracting department regarding non-contracted insurance and Letter of Agreement needs.
Perform financial clearance activities for all patient types.
Provide customer service to patients and visitors and serve as a liaison with support staff.
Communicate effectively with colleagues, physicians, providers, leaders, employees, patients, families, guarantors, and payors.
Manage changing priorities and difficult situations professionally.
Escalate unresolved issues according to departmental guidelines.
Answer daily 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 and electronic medical record experience required.
At least two years front desk oncology practice experience registering patients and scheduling appointments preferred.
EPIC EMR experience preferred.

Benefits

Comp & perks

Comprehensive Benefits
Equal opportunity employer