Financial Clearance Specialist

Accountabilities: Verify insurance eligibility: Review patient insurance policies and benefit coverage to confirm eligibility for laboratory services and identify potential coverage limitations. Coordinate with stakeholders: Communicate with internal teams, healthcare clinics, patients, and insurance providers to obtain coverage information, clarify discrepancies, and resolve eligibility issues. Maintain accurate documentation: Record insurance verification results, patient account information, and relevant updates accurately in revenue cycle management systems. Resolve claim errors: Investigate and correct claim errors identified by billing systems, including missing information, coding issues, billing discrepancies, and insurance rejections. Address medical necessity discrepancies: Review and resolve issues related to medical necessity requirements to support accurate and compliant claim submissions. Ensure clean claim submissions: Help prepare and process complete, accurate claims within established timelines to minimize delays and improve reimbursement efficiency. Maintain regulatory compliance: Handle sensitive patient information responsibly and follow applicable HIPAA requirements, internal policies, and billing procedures. Collaborate on operational improvements: Work with colleagues to resolve outstanding account issues, improve workflows, and support additional financial clearance activities as needed. Requirements High school diploma or equivalent qualification. At least 2 years of professional experience in medical billing, insurance eligibility verification, financial clearance, or a related healthcare revenue cycle position. Understanding of medical insurance policies, patient benefits, billing procedures, and healthcare claim terminology. Knowledge of HIPAA regulations and appropriate handling of Protected Health Information (PHI). Experience reviewing insurance coverage and identifying potential issues affecting patient account clearance. Ability to investigate and resolve claim errors, including missing documentation, coding discrepancies, and billing issues. Strong analytical, organizational, and problem-solving skills, with excellent attention to detail and accuracy. Excellent written and verbal communication skills, with the ability to interact professionally with patients, healthcare providers, insurance companies, and internal stakeholders. Strong interpersonal skills and the ability to work collaboratively in a fast-paced environment. Ability to manage multiple priorities, meet deadlines, and maintain accuracy when handling sensitive financial and patient information. Familiarity with laboratory billing and revenue cycle management platforms is highly desirable, particularly Telcor, Xifin, or Quadax . Ability to work full-time, Monday through Friday, with occasional overtime when required. Benefits Salary: Competitive hourly compensation ranging from $24.05 to $33.65 , depending on experience, qualifications, and location. Additional compensation: Eligibility for incentive compensation and discretionary bonuses. Healthcare coverage: Comprehensive health and welfare benefits. Retirement savings: 401(k) savings plan with employer matching contributions. Employee ownership: Employee Stock Purchase Plan. Wellness: Gym reimbursement program and additional well-being resources. Commuter support: Pre-tax commuter benefits for eligible employees. Special paid leave: Living Donor Employee Recovery Policy providing up to 30 days of paid leave annually for eligible full-time employees donating an organ or bone marrow. Work arrangement: Remote opportunities available for candidates based in the United States. Candidates within commuting distance of the Brisbane, California office may be required to work on-site regularly. Work schedule: Full-time, Monday through Friday. Meaningful impact: Opportunity to contribute to healthcare innovation and support improved outcomes for transplant patients and other individuals benefiting from precision medicine.