Sr. Financial Clearance Specialist (ONSITE in Ortigas)

Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Sr. Financial Clearance Specialist who will be working with Connext's Client in the United States of America.

What's in it for you

• Competitive compensation
• Perfect Attendance Bonus
• Life insurance
• HMO Insurance
• Great company culture
• Annual Merit Increase
• 25% Night Differential
• Onsite in Ortigas

What is the job

The Senior Financial Clearance Specialist is responsible in processing and verifying administrative and financial components of patient financial clearance, including insurance validation, pre-certification, prior authorization, pre-registration, patient benefit verification, and out-of-pocket cost estimates. This role ensures accurate collections, provides financial counseling to patients, and supports high-quality pre-service and point-of-service operations.

• Process and verify insurance benefits, medical necessity, routine and complex pre-certifications, prior authorizations, scheduling, and pre-registration.

• Provide clear and compassionate financial counseling to patients regarding benefits coverage, out-of-pocket estimates, and financial policies.

• Generate and review patient cost estimates; perform pre-service collections and secure patient liabilities.

• Conduct onsite POS collections, including copays, deductibles, and coinsurance at the time of service.

• Discuss payment options and resolve patient financial concerns in real time.

Required Qualifications:

• High School Diploma or equivalent.

• Minimum of three (3) years of experience in patient registration in a hospital or physician office, including obtaining patient demographic and financial information.

• Experience handling insurance verification and authorizations.

• Experience in Microsoft Office Suite (Excel, Word, Outlook, etc.).

• Must have stable employment history.

• Demonstrates strong understanding of insurance plans, benefits, and authorization requirements.

• Demonstrates proficiency in medical and insurance terminology.

• Demonstrates strong customer service skills with the ability to address basic to complex service issues.