Financial Clearance Specialist II

Job title: Financial Clearance Specialist II

Location: Los Angeles, CA, 90032

Duration: 3 Months (Possible Extensions)

Schedule: Standard 1st shift

Pay Range: XXXXXXXXXXX-XXXXXXXXXXX0 hourly on W2

Job Description:

Position Overview

• Verify patient insurance eligibility, benefits, and coverage.
• Obtain and manage prior authorizations for transplant-related services.
• Ensure patients receive financial clearance before treatment.
• Educate patients on insurance benefits, financial responsibilities, and available coverage options.
• Analyze insurance policies and resolve coverage or authorization issues.
• Collaborate with physicians, transplant coordinators, case managers, and insurance providers.
• Maintain accurate documentation and patient financial records.
• Support process improvements to enhance patient financial services and operational efficiency.
• Ensure compliance with HIPAA and organizational policies.

• High School Diploma or equivalent required.
• Associate's degree in a related field preferred.
• Associate's degree may be substituted with 2 years of financial experience, including at least 1 year of transplant financial experience.
• Experience with medical insurance verification and authorization processes.
• Hospital or clinical healthcare experience.
• Strong computer proficiency and accurate data entry skills.
• Excellent analytical, organizational, verbal, and written communication skills.
• Professional demeanor with exceptional customer service skills.

• Previous Kidney Transplant Financial Coordinator experience.
• Experience working in transplant programs or transplant finance.
• Bilingual (preferred).
• Familiarity with hospital financial systems and electronic medical records.