- Location: Mountain View, CA (On-Site)
- Pay Range: $36.00 / hour
- Duration: 3-Month Contract (strong potential for extension)
As a Patient Financial Clearance Specialist, you are the vital bridge between complex oncology care and financial peace of mind. In this role, you don't just process bills—you own the critical end-to-end insurance verification, prior authorization, and financial clearance process for cancer patients. By mitigating financial risk and securing timely approvals, you directly ensure that life-saving oncology treatments are never delayed.
Minimum Qualifications
- Experience: Minimum of 3 years of dedicated experience strictly focused on healthcare insurance verification, prior authorizations, and financial clearance.
- Specialized Knowledge: Proven, hands-on experience navigating complex Oncology/Cancer care medical policies, chemotherapies, and radiation authorizations (strictly required).
- Financial & Analytical Acumen: strong ability to interpret complex payor grids, analyze benefit data, and accurately calculate patient financial liabilities.
- High-Touch Communication: Exceptional verbal and written communication skills, with a demonstrated ability to discuss complex financial matters with sensitivity, empathy, and professionalism.
- Technical Proficiency: Mastery of oncology-specific medical terminology, electronic health records (EHR/EMR), and the Microsoft Office Suite.
salary: $35 - $36 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
Key Responsibilities
- Comprehensive Financial Clearance: Own and execute the end-to-end financial clearance process for high-complexity therapeutic services, diagnostic imaging, and multi-phase oncology treatment plans.
- Advanced Prior Authorizations: Submit, track, and secure complex prior authorizations from commercial and government payors, proactively appealing denials to prevent delays in patient care.
- Insurance Verification & Benefit Analysis: Conduct rigorous verification of insurance benefits, analyzing payor-specific medical policies to accurately identify coverage limits and mitigate financial risk for both the patient and the facility.
- Financial Counseling & Estimates: Conduct empathetic, professional interviews with patients to collect demographic/clinical data and provide transparent, accurate estimates of patient liabilities and out-of-pocket responsibilities.
- Cross-Functional Collaboration: Partner closely with oncology physicians, nurse navigators, social workers, and pharmacy teams to align financial clearance timelines with clinical treatment schedules.
- Data Integrity: Maintain meticulous, audit-ready documentation of authorizations and benefit verification in compliance with hospital policies and healthcare regulations.
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
