Financial Clearance Specialist

2 weeks ago


West Bridgewater, Massachusetts, United States Brockton Hospital Full time
Job Summary

We are seeking a highly skilled Financial Clearance Specialist to join our team at Brockton Hospital. As a key member of our financial operations team, you will play a critical role in ensuring that all necessary information is obtained and verified for proper financial reimbursement of services provided.

Key Responsibilities:

  • Access and review patient accounts to determine financial clearance status
  • Verify demographic and patient contact information
  • Ensure accurate guarantor type and information
  • Validate coverage's and resolve discrepancies
  • Collect and validate order-related information
  • Follow up with ordering providers to verify CPT codes
  • Verify Primary Care Physician (PCP) information and ensure appropriate referrals
  • Process referrals and prepare Advance Notice Beneficiary (ABN) or waiver
  • Analyze clinical documentation and submit precertification requests
  • Escalate challenging accounts to provider representatives

Requirements:

  • High school graduate or equivalent
  • At least two years prior experience in a healthcare setting
  • Knowledge of insurance coverage, reimbursement, and medical terminology
  • Excellent customer service and communication skills

About Brockton Hospital:

Brockton Hospital is a premier local provider of quality, personalized medical services in Southeastern Massachusetts. We are committed to delivering exceptional patient care and experience.



  • West Bridgewater, Massachusetts, United States Signature Healthcare Full time

    Job Title: Financial Clearance SpecialistAt Signature Healthcare, we are seeking a highly skilled Financial Clearance Specialist to join our team. As a key member of our financial operations, you will play a critical role in ensuring that all necessary information is proactively obtained and verified for proper financial reimbursement of services provided...


  • West Bridgewater, Massachusetts, United States Signature Healthcare Full time

    About Signature HealthcareSignature Healthcare is a leading provider of quality medical services in Southeastern Massachusetts. Our team of medical professionals is dedicated to delivering personalized care to our patients.Job SummaryWe are seeking a Financial Clearance Specialist to join our team. This role is responsible for ensuring all necessary...


  • West Bridgewater, Massachusetts, United States Brockton Hospital Full time

    Financial Planning SpecialistBrockton Hospital is seeking a highly skilled Financial Planning Specialist to join our team. As a key member of our Financial Planning department, you will be responsible for preparing and coordinating all statistical reports, budgets, and ad-hoc analyses, as well as monitoring actual to budget variances.Key...


  • West Bridgewater, Massachusetts, United States Brockton Hospital Full time

    Job SummaryAs a Senior Financial Analyst, you will play a critical role in preparing and coordinating statistical reports, budgets, and ad-hoc analyses for Brockton Hospital. You will work closely with the Director to monitor actual to budget variances and provide data-driven insights to inform business decisions.Key ResponsibilitiesAnalyze and evaluate data...


  • Bridgewater, Massachusetts, United States NYL - Patrick Piscitelli Full time

    We are seeking a highly motivated and experienced insurance sales professional to join our team at NYL - Patrick Piscitelli. As a Financial Services Professional, you will be responsible for providing financial security and peace of mind to our clients through our insurance, annuity, and investment solutions.Key Responsibilities:Develop and implement sales...


  • Bridgewater, Massachusetts, United States Home Depot Full time

    Home Depot **Job Summary:** We are seeking a highly skilled Asset Protection Specialist to join our team at Home Depot. **Key Responsibilities:** * Prevent financial loss caused by theft and fraud * Support safety and environmental program compliance in assigned stores * Identify incidents of theft and fraud, review CCTV and exception reports, and...


  • Bridgewater, Massachusetts, United States VitalCore Health Strategies Full time

    Job SummaryVitalCore Health Strategies, a leading provider of correctional healthcare services, seeks a skilled Health Services Administrator to oversee the delivery of contract services at Old Colony Correctional Facility in Bridgewater, MA.The successful candidate will be responsible for managing the site budget, constructing and supervising an annual...


  • Bridgewater, Massachusetts, United States Target Full time

    About the Role:We are seeking a highly motivated and detail-oriented Warehouse Operations Specialist to join our team. As a key member of our Supply Chain team, you will play a critical role in ensuring the efficient and accurate processing of merchandise to our stores and guests.Key Responsibilities:Follow all safety policies and procedures to ensure a safe...


  • West Yarmouth, Massachusetts, United States LHH Recruitment Solutions Full time

    Job OverviewLHH Recruitment Solutions is seeking a skilled Patient Registration Admin to join their team in West Yarmouth, MA. This contract-to-hire position offers an opportunity to learn a new career and develop customer service and administrative skills.Key Responsibilities:Welcoming patients and scheduling appointments with a warm and professional...


  • Bridgewater, Massachusetts, United States Synerfac Full time

    Job Title: Accounts Receivable RepresentativeJob Summary:The Accounts Receivable Representative is responsible for providing financial, administrative, and clerical services to ensure the effective handling of all billing and collection functions, and to maximize the application of cash receipts through the adherence to established protocol and...


  • Bridgewater, Massachusetts, United States Recovery Solutions Full time

    Compensation Range$315,000.4 - $335,000.43 / year You Matter• Make a meaningful difference in the lives of vulnerable individuals • Collaborate with a mission-driven organization that prioritizes people-first culture • Unlock opportunities for career growth and development Join Our Mission• Provide compassionate care to patients in need • Foster a...


  • West Yarmouth, Massachusetts, United States LHH Recruitment Solutions Full time

    Are you looking for a career in healthcare administration and customer service? LHH Recruitment Solutions is seeking a Patient Registration Admin for a contract-to-hire position in a nationwide healthcare company. This opportunity is ideal for those with customer service and administrative skills who want to learn a new career.Responsibilities:Warmly greet...


  • West Springfield, Massachusetts, United States May Institute Full time

    Job Summary:May Institute is seeking a highly motivated and dedicated Child Care Specialist to join our team. As a Developmental Specialist, you will play a vital role in providing high-quality healthcare services to individuals with developmental disabilities.Key Responsibilities:Coordinate and ensure the quality of healthcare services provided to...


  • West Springfield, Massachusetts, United States May Institute Full time

    Unlock the Potential of Children with AutismAt May Institute, we're seeking a highly skilled and compassionate Lead Behavior Specialist to join our team of dedicated professionals. As a key member of our Center School for Autism and Developmental Disabilities, you'll play a vital role in shaping the lives of children with autism and their families.Your Key...


  • West Springfield, Massachusetts, United States May Institute Full time

    Unlock Your Potential as a Lead Behavior SpecialistAre you ready to take your career to the next level and make a meaningful impact in the lives of individuals with developmental disabilities? As a Lead Behavior Specialist at May Institute Center School for Autism and Developmental Disabilities, you will have the opportunity to lead a team and implement...


  • West Boylston, Massachusetts, United States Installed Building Products Full time

    Gutter Installation Job DescriptionAs a Gutter Installation Specialist with Installed Building Products, you will be responsible for ensuring that gutters are properly attached to buildings and pitched correctly for proper water drainage.Key Responsibilities:Measure and cut gutters to size using specialized toolsInstall hangers, brackets, and other support...


  • West Springfield, Massachusetts, United States The May Institute Inc Full time

    Job Summary:As a Developmental Disabilities Specialist at The May Institute Inc, you will play a vital role in supporting individuals with developmental disabilities. Your primary responsibility will be to coordinate and ensure the quality of healthcare services provided to our clients.Key Responsibilities:Coordinate and ensure the quality of healthcare...


  • West Falmouth, Massachusetts, United States Gosnold Full time

    Job OverviewGosnold, Inc. is a nationally accredited non-profit leader in the prevention, treatment, and recovery of mental health and substance use disorders. Our comprehensive continuum of care is tailored to meet the unique needs of each individual, and we welcome like-minded professionals who share our passion for promoting lasting recovery.Job...


  • West Wareham, Massachusetts, United States POAH Communities Full time

    Job SummaryWe are seeking a highly qualified Property Manager to join our team at POAH Communities. As a Property Manager, you will be responsible for overseeing the day-to-day operations of our properties, ensuring compliance with federal, state, and local laws, and providing excellent customer service to our residents.Key ResponsibilitiesExecute financial...


  • West Wareham, Massachusetts, United States POAH Communities Full time

    Job SummaryPOAH Communities is seeking a highly qualified Property Manager to oversee the day-to-day operations of our multifamily housing properties. As a key member of our team, you will be responsible for managing staff, maintaining high levels of property management expertise, and ensuring compliance with federal, state, and local laws.Key...