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Logan Health

Financial Clearance Specialist

Logan Health

Financial Clearance Specialist at Logan Health verifying insurance eligibility and supporting patients in navigating healthcare insurance. Collaborating with clinic teams to ensure smooth patient experiences.

Posted 5/13/2026full-timeRemote • Arizona, Colorado, Florida, Hawaii, Idaho, Illinois, Kansas, Minnesota, Missouri, Montana, North Carolina, Ohio, Oregon, Tennessee, Texas, Virginia, Washington • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact
  • Verify insurance eligibility, benefits, and patient liability to prevent denials or penalties
  • Accurately document insurance and payment information to optimize reimbursement and avoid write-offs
  • Maintain up-to-date knowledge of insurance plans, contract requirements, and best practices for insurance verification
  • Confirm and secure benefits coverage with insurance companies and employers; ensure demographic data is correct
  • Cross-reference Medicare accounts and coordinate benefit statuses as needed
  • Determine and process pre-certification or referral requirements per protocol
  • Communicate with providers regarding out-of-network barriers and document accordingly
  • Estimate and collect patient liability prior to service, following cash management policies
  • Maximize collection of co-pays and other balances per department protocol
  • Review and resolve accounts on hold to ensure timely billing
  • Partner with the Authorization team to obtain payer authorizations and referrals
  • Ensure compliance with HIPAA and all insurance process regulations
  • Continue developing your skills to keep up with changes in insurance and reimbursement rules
  • Maintain regular and consistent attendance as scheduled by department leadership

Requirements

What you’ll need
  • 2+ years of experience in registration, financial clearance, or patient financial services with strong healthcare insurance knowledge
  • Excellent understanding of insurance coverage, benefit verification, and reimbursement rules
  • Strong math and analytical skills
  • Proficiency with Microsoft Office Suite and the ability to learn new software
  • Highly organized, detail-oriented, and able to set priorities
  • Excellent verbal and written communication skills; comfortable interacting with a variety of audiences
  • Strong interpersonal skills with professionalism, tact, and diplomacy
  • Critical thinker; works well independently and as part of a team
  • Commitment to confidentiality and team collaboration
  • Associate’s or Bachelor’s degree preferred
  • Experience with managed care coverage, reimbursement, medical terminology, and medical coding preferred

Benefits

Comp & perks
  • opportunities for growth
  • comprehensive benefits
  • chance to make a meaningful impact in the lives of those we serve

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
insurance verificationbenefit verificationreimbursement rulesmedical terminologymedical codingfinancial clearancepre-certificationcash managementdata documentationaccount resolution
Soft Skills
organizational skillsdetail-orientedcommunication skillsinterpersonal skillscritical thinkingprofessionalismtactdiplomacyteam collaborationindependence
Certifications
Associate’s degreeBachelor’s degree