Financial Clearance Specialist

Description

MaineHealth Corporate

Clerical/Administrative Support
Req #: 99349

Are you someone who enjoys solving problems, navigating complex workflows, and making sure patients have everything in place before receiving care? MaineHealth is looking for a detail-oriented Financial Clearance Specialist to join our IVT Authorization Team, helping ensure patients are financially cleared for the services they need.

In this role, you'll work behind the scenes to support the patient's experience by navigating patient charts, reviewing insurance information, and completing the necessary financial clearance and authorization processes before services are provided. This is a fast-paced role with intricate workflows, so we're looking for someone who is comfortable managing multiple details, working efficiently, and navigating patient records quickly and accurately.

Experience with Epic would be a huge plus! We're especially interested in candidates who are comfortable working within patient charts, and clinical Epic experience would be an added bonus. Previous experience with prior authorizations, insurance eligibility, or financial clearance would also be valuable, although these are not required. Most important isattention to detail, strong organizational skills, and the ability to learn and manage complex processes.

If you enjoy working through the details, finding solutions, and playing an important role in helping patients access care without unnecessary delays, this could be a great opportunity to bring your skills to MaineHealth!

Summary:

Specialist - Financial Clearance performs all necessary front-end revenue cycle functions prior to service to ensure timely financial clearance for patient accounts.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education:High school graduate or equivalent (GED) preferred. Associate degree preferred.
2. Experience: Two (2) or more years of equivalent work experience in a hospital, medical office/clinic, or insurance company required
3. Additional Skills/Requirements Required: Demonstrated knowledge of Microsoft, Word, Excel, and Outlook. Demonstrated knowledge of medical terminology and abbreviations
4. Additional Skills/Requirements Preferred: Demonstrated knowledge of insurance eligibility, financial clearance and insurance authorization. Prior experience with EPIC EMR preferred.

Additional Information

MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources-so you can grow your career while feeling supported both personally and professionally.

We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage.

The pay range for this position is $20.68to $25.10 per hour.

Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).

In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives.

If you have questions about this role, please contact kaye.cross@mainehealth.org

Hiring Scam Alert

MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org.

Notice Regarding Maine Employer Surveillance Statute:Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.