Financial Clearance Representative I/II

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 your job, please contact HR-BenefitsandLeaves@roswellpark.org and provide information about your request and preferred contact method.

Our Core Values

RPCIC is committed to fostering an environment where patients, families, employees, volunteers, and members of our community are treated with dignity, courtesy, and respect. We believe our mission is strengthened when individuals contribute their experiences, perspectives, and ideas and work together toward a common purpose. Our actions are guided by our core values of Innovation, Integrity, Teamwork, Commitment, Compassion, and Respect.

Historical Compensation Information Statement 

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.