Financial Clearance Specialist

Solaris Health

Financial Clearance Specialist handling insurance eligibility and prior authorizations for patients at Solaris Health Holdings. Ensuring timely patient care through effective documentation and communication with insurers.

Posted 6/19/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

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.
Accurately document verification results in the EHR and/or PM.
Submit prior authorization requests for services, tests, and procedures based on payer requirements.
Monitor and follow up on pending authorizations to avoid delays in patient care.
Address denied or delayed authorizations with payers and escalate unresolved issues to the Supervisor as needed.
Coordinate with clinical staff to gather and submit necessary documentation for authorization approval.
Notify appropriate teams of coverage issues, authorization status, or patient financial risk.
Communicate with patients regarding their insurance coverage, financial responsibilities, and authorization outcomes when appropriate.
Collaborate with schedulers and front-desk teams to ensure appointments align with insurance requirements.
Follow standardized workflows and documentation protocols as outlined by the Supervisor.
Maintain accuracy and timeliness in all financial clearance documentation.
Participate in daily team huddles and contribute to process improvement initiatives.

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 clinics functions

Benefits

Comp & perks

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

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

insurance verificationmedical authorizationsrevenue cycle operationsEHR systemspayer portalsMicrosoft Officemedical terminologyhealthcare coding systems

Soft Skills

attention to detailorganizational skillscommunication skillsproblem-solving abilitiesverbal communicationwritten communication

Certifications

High School DiplomaAssociate’s degree in healthcareAssociate’s degree in business