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Financial Clearance Specialist
UMass Memorial Health. Assess and verify patient demographic, financial, and insurance information for scheduled medical services .
Posted 9/30/2026full-timeRemote • Massachusetts • United StatesMid-LevelSenior💰 $21 - $29 per hourWebsite
Core Competencies
Role fitCore 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 liabilities effectively.
Highest-signal resume keywords
Patient Financial AssessmentInsurance VerificationCollections ManagementHealthcare Environment ExperienceBusiness Office Operations
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Demographic VerificationCo-Pay CollectionAccounts Receivable ManagementFinancial Clearance PoliciesThird Party Collections Knowledge
Soft Skills
Communication SkillsOrganizational SkillsProblem-Solving Skills
Tools & Technologies
Hospital Computer SystemsBusiness Office Applications
Industry Keywords
Revenue CycleHealthcare FinancePatient LiabilityFinancial Counselor Referral
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 liabilities
- Provide estimates for services and explain liability variables to patients
- Receive and process payments for current and past balances
- Contact insurance companies to verify eligibility and obtain accurate billing information
- Perform collections on outstanding accounts receivable
- Ensure pre-certification authorization and/or referrals are in place before services are rendered
- 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 determine 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.
- 4+ years of experience within a business office setting; hospital revenue cycle, physician office, or collection agency preferred
- Prior experience in a healthcare environment required
- Business concentration preferred
- 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 unless certification, licensure, or registration is required
- Ability to work Monday through Friday, 8am–4:30pm
- Ability to perform duties involving sitting, standing, walking, talking/hearing, hand use, and lifting up to 10 pounds
Benefits
Comp & perks- Signing bonus may be available, subject to eligibility
- Full-time schedule of 40 hours per week
- Remote work arrangement (Primarily Remote)