Financial Clearance Specialist

Location: Boston, Massachusetts, United States; remote work with occasional onsite presence

Salary: $49,700–$59,500 per year

Company

hirify.global advances cancer research and provides comprehensive patient care while working to reduce the burden of cancer and related diseases.

What you will do

• Review daily appointment records and prioritize patients requiring insurance authorization.
• Verify insurance benefits through eligibility systems, payer portals, and telephone communication.
• Explain financial clearance, benefits, network status, authorization, and referral requirements to patients.
• Prepare and monitor prior authorization and referral requests in line with payer guidelines.
• Coordinate responses to denied or policy-disputed requests, including peer-to-peer discussions, letters of medical necessity, and provider appeals.
• Maintain accurate clearance records and communicate status with patients, physicians, schedulers, representatives, and clinical staff.

Requirements

• High school diploma or GED; a bachelor’s degree is preferred.
• 2–3 years of relevant experience in a hospital or physician office, prior authorization, financial counseling, billing, health insurance, or a related field.
• Knowledge of third-party payer rules and regulations.
• Working knowledge of Epic or another hospital information system.
• Strong written and verbal communication, customer service, collaboration, analytical, and problem-solving skills.
• Ability to work with sensitive patient information and maintain confidentiality.

Nice to have

• Proficiency in Microsoft Office.
• Experience in medical policy review, pharmacy support, healthcare administration, training, or instructional design.

Culture & Benefits

• Work in an innovative, caring, inclusive, diverse, and equitable healthcare environment.
• Contribute to cancer research, patient care, education, and public health initiatives.
• Support patients and families from diverse backgrounds through compassionate financial communication.
• Full-time position with remote work and occasional onsite attendance.