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Financial Clearance Specialist
Solaris Health. Verify insurance coverage and benefit information using payer portals, clearinghouses, and direct communication with insurers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance verification and medical authorization processes, ensuring compliance with HIPAA and organizational policies while maintaining accuracy in documentation and communication with patients and clinical staff.
Highest-signal resume keywords
Insurance VerificationMedical AuthorizationsEHR Systems ProficiencyAttention to DetailCommunication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance VerificationMedical AuthorizationsKnowledge of Medical TerminologyHealthcare Coding SystemsRevenue Cycle OperationsDocumentation ProtocolsFinancial Clearance DocumentationPayer PortalsMicrosoft OfficeCompliance Training
Soft Skills
Attention to DetailOrganizational SkillsProblem-Solving AbilitiesVerbal Communication SkillsWritten Communication Skills
Tools & Technologies
EHR SystemsPayer PortalsClearinghouses
Certifications & Qualifications
Annual Compliance Training
Industry Keywords
Commercial InsuranceMedicareMedicaidManaged Care Insurance PlansPatient Health Information ConfidentialitySolaris Health Code of Conduct
About the role
Key responsibilities & impact- Verify insurance coverage and benefit information using payer portals, clearinghouses, and direct communication with insurers
- Confirm plan status, effective dates, co-pays, deductibles, coinsurance, and authorization requirements
- Accurately document verification results in the EHR and/or PM
- Submit prior authorization requests for services, tests, and procedures
- Monitor and follow up on pending authorizations to avoid delays in patient care
- Address denied or delayed authorizations and escalate unresolved issues to the Supervisor
- Coordinate with clinical staff to gather and submit documentation for authorization approval
- Notify appropriate teams of coverage issues, authorization status, or patient financial risk
- Communicate with patients about insurance coverage, financial responsibilities, and authorization outcomes
- Collaborate with schedulers and front-desk teams to align appointments with insurance requirements
- Follow standardized workflows and documentation protocols
- Maintain accuracy and timeliness in financial clearance documentation
- Participate in daily team huddles and process improvement initiatives
- Perform other position-related duties as assigned
Requirements
What you’ll need- High School Diploma or equivalent required
- Associate’s degree in healthcare, business, or related field preferred
- 1–3 years of experience in insurance verification, medical authorizations, or revenue cycle operations
- Knowledge of commercial, Medicare, Medicaid, and managed care insurance plans
- Strong attention to detail and organizational skills
- Proficiency in EHR systems, payer portals, and Microsoft Office
- Excellent communication and problem-solving abilities
- Professional verbal and written communication skills
- Knowledge of medical terminology, healthcare coding systems, and clinic functions
- Must adhere to applicable laws, regulations, Solaris Health Code of Conduct, and organizational policies
- Must maintain patient health information confidentiality in compliance with HIPAA
- Must complete Annual Compliance Training
Benefits
Comp & perks- Competitive pay
- PTO
- Holiday pay
- Comprehensive benefits package
- Health insurance
- Dental insurance
- Vision insurance
- Life Insurance
- Pet Insurance
- Health savings account
- Paid sick time
- Paid time off
- Paid holidays
- Profit sharing
- Retirement plan
- No weekends, evenings, or holidays