Financial Clearance Specialist

Solaris Health

. Verify insurance coverage and benefit information using payer portals, clearinghouses, and direct communication with insurers .

Posted 11/10/2026full-timeRemote • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in insurance verification and medical authorizations, with a strong focus on accuracy in documentation and compliance with healthcare regulations. Proficient in EHR systems and payer portals, ensuring effective communication with patients and clinical staff regarding insurance coverage and financial responsibilities.

Highest-signal resume keywords

Insurance VerificationMedical AuthorizationsEHR Systems ProficiencyAttention to DetailCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance VerificationMedical AuthorizationsEHR SystemsHealthcare Coding SystemsMicrosoft OfficePayer PortalsRevenue Cycle OperationsDocumentation ProtocolsCompliance TrainingMedical Terminology

Soft Skills

Attention to DetailOrganizational SkillsProblem-Solving AbilitiesVerbal Communication SkillsWritten Communication Skills

Industry Keywords

MedicareMedicaidManaged Care Insurance PlansPatient ConfidentialityHIPAA ComplianceFinancial ClearanceAuthorization RequirementsClinical Staff CoordinationCoverage IssuesAnnual Compliance Training

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
Document verification results accurately in the EHR and/or PM
Submit prior authorization requests for services, tests, and procedures
Monitor and follow up on pending authorizations
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 regarding 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 related duties as assigned
Work under the guidance of the Manager/Supervisor of Financial Clearance to support timely, efficient patient care

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
Adherence to applicable laws, regulations, Solaris Health Code of Conduct, and organizational policies
Maintenance of patient confidentiality in compliance with HIPAA
Timely completion of Annual Compliance Training

Benefits

Comp & perks

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
Fully remote position
No weekends, no evenings, no holidays