Financial Clearance Specialist II

Financial Clearance Specialist II

This position is responsible for insurance verification and authorization processing for transplant patients. Must haves include professional appearance with excellent communication skills, hospital or clinical healthcare experience, working knowledge of medical insurance verification and authorization processes, strong computer and data entry skills. Transplant financial experience is strongly preferred, with heart transplant experience highly preferred. Education required is a high school diploma or equivalent, with an associate's degree in a related field preferred. Bilingual fluency is strongly preferred.

This position is under the direction of the Financial Coordinator Supervisor, the Financial Coordinator (TFC) is a key member of the multidisciplinary transplant team. The TFC is responsible for ensuring transplant patients receive financial clearance by verifying insurance benefits, obtaining authorizations, counseling patients regarding insurance coverage, and providing guidance when coverage has lapsed or is insufficient. The coordinator will analyze complex insurance information, communicate financial requirements to patients and staff, resolve insurance-related issues, and support process improvements that enhance patient care. The role requires excellent analytical, organizational, verbal, and written communication skills, along with the ability to quickly learn hospital and transplant-related systems.