Financial Clearance Representative I/II

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 oncology-related workflows
• Experience preparing clinical documentation to support authorization requests
• Experience training, mentoring, or supporting other team members
• Strong understanding of healthcare reimbursement processes and regulatory requirements

• Who Will Be Successful in This Role?
• You may be a great fit if you:
• Enjoy helping people navigate complex processes
• Can balance customer service with strong attention to detail
• Are comfortable communicating with insurance carriers and healthcare professionals
• Like solving problems and finding creative solutions
• Stay organized and focused when managing competing priorities
• Take pride in ensuring patients have the information and support they need before treatment begins

• Why You'll Love Working Here:
• At Roswell Park, every team member contributes to a mission that goes far beyond their individual role. When you join us, you'll become part of an organization dedicated to advancing cancer care, research, education, and prevention while delivering exceptional support to patients and families.

• You'll enjoy:
• Meaningful work that directly impacts patient access to care
• A collaborative and supportive team environment
• Opportunities for professional growth and career advancement
• Ongoing learning and development opportunities
• Comprehensive benefits that support your health, wellness, and future
• The chance to work alongside passionate professionals committed to making a difference every day

• Make an Impact:
• If you're looking for an opportunity to combine healthcare knowledge, problem-solving skills, and compassionate service, we'd love to hear from you. Join Roswell Park and help ensure patients can focus on their care while we help navigate the path forward together.

Qualifications:

• Financial Clearance Representative I:
• Required Education and Experience

• 1. High School diploma or High School Equivalency diploma and the equivalent of one (1) year of full-time experience in pre-certifications and follow-up procedures or a related field; or
• 2. High School diploma or High School Equivalency diploma and successful completion of a Patient Access Representative traineeship at Roswell Park Comprehensive Cancer Center (Roswell Park).

• NOTE:
• Degrees must be conferred by an accredited school, college, or university, or by an institution recognized by Roswell Park Comprehensive Cancer Center and/or Health Research Incorporated as adhering to acceptable educational standards.

OR

• Financial Clearance Representative II:
• Required Education and Experience

• 1. High School diploma or High School Equivalency diploma and the equivalent of three (3) years of full-time experience in authorization and follow-up procedures or related field; or
• 2. High School diploma or High School Equivalency diploma and the equivalent of two (2) years of full-time experience Financial Clearance and/or Patient Access within the Financial Clearance Department at Roswell Park Comprehensive Cancer Center.

• NOTE:
• Degrees must be conferred by an accredited school, college, or university, or by an institution recognized by Roswell Park Comprehensive Cancer Center and/or Health Research Incorporated as adhering to acceptable educational standards.

Equal Employment Opportunity Statement

Roswell Park Cancer Institute Corporation (RPCIC) is committed to equal employment opportunity. We do not discriminate against employees, applicants, or job seekers on the basis of any characteristic protected by applicable federal, state, or local law. Employment decisions are based on qualifications, performance, and business needs. We are committed to maintaining a fair, respectful workplace where employees are valued for their contributions and supported in advancing our mission.

Reasonable Accommodation Request

RPCIC is committed to providing reasonable accommodations to qualified individuals with disabilities. If you need a reasonable accommodation for any part of the application process, employment process, or to perform you