Title:
Financial Clearance Representative I/II Job Type:
Regular Company:
Roswell Park Comprehensive Cancer Center Department:
Financial Clearance Center Time Type:
Full time Weekly Hours:
37.5 FTE:
0.9375 Shift:
First Shift (United States of America)
Summary:
About the Role:
At Roswell Park, the patient experience begins long before treatment starts. As a Financial Clearance Representative, you'll play a critical role in helping patients access the care they need by ensuring insurance coverage, authorizations, and financial requirements are addressed before services are delivered.
This position serves as a key connection point between patients, healthcare providers, insurance companies, and internal teams. Whether you're verifying benefits, securing authorizations, resolving coverage challenges, or helping prevent claim denials, your work helps create a smoother experience for patients while supporting timely access to life-changing care.
Depending on experience and qualifications, candidates may be considered for either the Financial Clearance Representative I or Financial Clearance Representative II level.
The starting annual salary for the Financial Clearance Representative I position is $44,560 and this can include a full comprehensive benefits package.
The starting annual salary for the Financial Clearance Representative II position is $49,841 and this can include a full comprehensive benefits package.
What You'll Do:
In this role, you will:
Verify insurance coverage and benefits for new and existing patients
Ensure patient demographic, insurance, and provider information is accurate and up to date
Obtain required referrals, pre-certifications, and authorizations for services and treatments
Communicate with insurance companies to support timely approvals and coverage determinations
Serve as a resource for clinical teams regarding insurance and authorization requirements
Investigate and resolve coverage issues that may impact patient care or billing
Research denied services and assist with appeals and follow-up activities
Coordinate with patient accounting, physician billing, admissions, and clinical teams to support financial clearance efforts
Maintain accurate documentation and records related to authorizations and insurance verification
Monitor work queues, reports, and system activity to help ensure timely processing and high-quality outcomes
At the Financial Clearance Representative II level, additional responsibilities may include:
Managing more complex authorization and insurance-related issues
Preparing clinical documentation and letters of medical necessity
Coordinating peer-to-peer reviews between providers and insurance representatives
Supporting denial prevention and resolution efforts
Training and mentoring team members
Reviewing reports to identify opportunities for process improvement and efficiency
Assisting with special projects, system maintenance, and operational initiatives
What You'll Bring:
We're looking for individuals who are detail-oriented, organized, and passionate about helping patients navigate the financial side of healthcare.
Successful candidates will have:
Experience working with insurance verification, authorizations, patient access, revenue cycle, healthcare administration, or a related healthcare setting
Knowledge of medical insurance plans, payer requirements, and pre-authorization processes
Strong problem-solving and critical-thinking skills
Excellent communication and customer service abilities
The ability to manage multiple priorities while maintaining accuracy and attention to detail
Comfort working with electronic systems, documentation, and reporting tools
A collaborative approach and the ability to build strong working relationships across departments
You'll Stand Out If You Have:
Previous experience obtaining authorizations or pre-certifications
Experience working with insurance denials, appeals, or payer communications
Knowledge of hospital, physician billing, or…