Financial Clearance Specialist

UMass Memorial Health

. Assess and verify patient demographic, financial, and insurance information for scheduled medical services .

Posted 11/4/2026full-timeRemote • Massachusetts • United StatesMid-LevelSenior💰 $21 - $29 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in patient financial assessment, insurance verification, and collections within a healthcare environment. Proficient in applying financial clearance policies and managing patient financial liabilities effectively.

Highest-signal resume keywords

Patient Financial AssessmentInsurance VerificationCollections ManagementHealthcare Environment ExperienceRevenue Cycle Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial Clearance PoliciesPatient Payment ProcessingCo-Pay CollectionInsurance Eligibility VerificationAccounts Receivable ManagementThird Party Collections KnowledgeBusiness Office ApplicationsHospital Computer Systems Familiarity

Soft Skills

Communication SkillsProblem-Solving SkillsOrganizational Skills

Industry Keywords

HealthcareRevenue CyclePatient DemographicsFinancial LiabilitiesPre-Certification Authorization

About the role

Key responsibilities & impact

Assess and verify patient demographic, financial, and insurance information for scheduled medical services
Collect co-pays, deductibles, coinsurances, down payments, and other patient financial liabilities
Provide estimates for services and explain patient financial liability variables
Receive and process patient payments for current and past balances
Resolve insurance and financial issues before services are rendered
Initiate contact with insurance companies to obtain eligibility and accurate billing information
Perform collections with outstanding accounts receivable
Ensure pre-certification authorization and/or referrals are in place before service
Refer patients to Financial Counselors or the Business Office as appropriate
Reschedule appointments when requested or when financial circumstances require postponement
Enter clear notes about financial clearance status in the system
Apply Financial Clearance policies and procedures consistently
Assess coverage gaps and patient financial exposure
Reprioritize work as needed and perform other assigned duties

Requirements

What you’ll need

Minimum High School Diploma or G.E.D.; business concentration preferred
Four plus (4+) years of experience within a business office setting; hospital revenue cycle preferred, Physician office or collection agency
Prior experience in a healthcare environment required
Working knowledge of personal computers and business office applications preferred
Familiarity with hospital computer systems is a plus
Knowledge of third party collections and reimbursement preferred
Equivalent combination of education and experience may be substituted for the requirements

Benefits

Comp & perks

Potential signing bonus, subject to eligibility
Remote work arrangement (Primarily Remote)
Union representation through SHARE (State Healthcare and Research Employees)