The Financial Clearance Specialist supports patient financial clearance, registration, insurance verification, and pre-authorization activities within Northwestern Medicine. This role helps ensure timely reimbursement, accurate patient information, and a smooth patient experience by coordinating with patients, physicians, insurance carriers, and hospital departments.
Key responsibilities include:
- Providing exceptional customer service and maintaining a patient-first approach.
- Collecting and correcting demographic, insurance, and financial information.
- Reviewing electronic medical records for diagnosis, pre-treatment, and medical necessity.
- Verifying eligibility, benefits, and insurance plan details.
- Coordinating pre-authorizations, pre-certifications, and referral requirements.
- Communicating with patients about out-of-pocket estimates, billing policies, and coverage issues.
- Working with physicians, physician offices, and ancillary departments to resolve denials and incomplete documentation.
- Documenting actions in Epic and other software applications.
- Supporting quality assurance, process improvement, and training for new staff.
- Ensuring compliance with organizational policies, HIPAA, and applicable billing and collection regulations.
Requirements & Qualifications
Required
- High school diploma or equivalent.
- 2-3 years of previous hospital billing, insurance follow-up, or customer service experience in a hospital setting.
- Excellent interpersonal, verbal, and written communication skills.
- Proficiency in computer data entry and typing.
- Ability to read, write, and communicate effectively in English.
- Basic computer skills.
- Ability to type 40 wpm.
- Ability to multitask.
- Strong customer service orientation.
- Excellent organizational, time management, analytical, and problem-solving skills.
Preferred
- Bachelor's degree.
- Additional language skills.
- Healthcare finance and/or healthcare insurance experience.
- Experience in a healthcare setting, especially patient scheduling and/or registration.
Benefits & Perks
Benefits
- Competitive benefits package.
- Tuition reimbursement.
- Loan forgiveness.
- 401(k) matching.
- Lifecycle benefits.
- Physical, emotional, and financial well-being resources.
- Protection for unexpected life events.
Location
Chicago, Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago