Lead Financial Clearance Specialist – Remote

Location: Remote

About the Role

Join UMass Memorial Health as a Lead Financial Clearance Specialist and play a key role in ensuring patients receive timely insurance clearances for urgent and scheduled medical services. You’ll lead a team of Financial Clearance Specialists, oversee workflow, provide training, and help maintain smooth operations in insurance verification and authorizations.

UMass Memorial Health is a leading healthcare system in Central Massachusetts dedicated to patient care, research, and academic excellence.

Key Responsibilities

• Lead and monitor workflow for a team of Financial Clearance Specialists.
• Train and assist team members with system procedures and troubleshooting.
• Oversee insurance verification and authorization for inpatient visits, outpatient procedures, surgeries, and tests.
• Ensure all insurance authorizations align with medical codes and hospital policies.
• Communicate with insurance companies regarding urgent surgeries and admissions.
• Verify insurance eligibility using online tools and direct payor contacts.
• Ensure patient insurance data is accurate in the Epic system.
• Assist in collecting patient liabilities prior to or on the date of service.
• Participate in quality improvement efforts and comply with health and safety regulations.
• Foster a respectful, professional, and collaborative work environment.

Education & Experience

Required:

• High School Diploma or equivalent.
• Minimum 3 years of experience in insurance verification and/or authorization.
• At least 1 year experience as a Financial Clearance Representative in good standing.
• Strong English communication skills (reading, writing, and speaking).
• Knowledge of medical terminology and healthcare registration software.

Preferred:

• Associate Degree in Business, Healthcare Administration, or related field.
• Bilingual skills (a plus).
• Experience using Epic or similar electronic health record systems.

Why Work Here?

At UMass Memorial Health, everyone is a caregiver, working together to provide exceptional care and support. We foster respect, inclusion, and professional growth. We encourage candidates from diverse backgrounds to apply and support workplace equity and accessibility.How to Apply

If you’re interested in this position, please register on our portal and submit your application through the link below:

👉 Register & Apply at TeezJobs.com