Description We are on the lookout for a Financial Clearance Representative to join our team in the healthcare industry. Based in East Haven, Connecticut, this role offers a long-term contract employment opportunity. As a Financial Clearance Representative, you will be responsible for ensuring the preparedness of payers for reimbursement of scheduled services, obtaining authorizations from payers, and maintaining high-quality customer service. Responsibilities: • Ensure the readiness of payers for reimbursement for scheduled services in line with the payer-provider contract. • Act as a liaison between patients, families, physicians, and their staff, maintaining exceptional levels of customer service. • Verify patients' insurance and benefits information, notifying relevant staff of any insufficiencies or termination of benefits. • Use the Epic EMR system for determining insurance eligibility and initial pre-certifications. • Complete all pre-certification notices prior to admission and initiate the notification process to the insurance company within the set timeframe. • Obtain necessary approvals and authorizations from third-party payers to ensure accounts can be billed and payment received. • Determine the medical necessity of scheduled procedures in accordance with Centers for Medicare Medicaid Services (CMS) or other payer standards. • Communicate coverage/eligibility information to patients. • Process payments and resolve any discrepancies. • Take responsibility for obtaining all UB-04 information and ensure compliance with healthcare regulations that govern hospital billing. Requirements • Proven experience in the Healthcare, Hospitals, or Social Assistance industry • Proficiency in using Epic Electronic Medical Records (EMR) software • Extensive knowledge in obtaining Prior Authorizations for medical procedures • Familiarity with Medicare and Medicaid processes and regulations • Expertise in carrying out Insurance Verifications • Demonstrated ability in Medical Insurance Verification • Experience in processing payments in a timely and accurate manner • Ability to identify and resolve Discrepancies in financial records or reports • Strong communication and interpersonal skills • High attention to detail and accuracy • Ability to maintain confidentiality and adhere to HIPAA guidelines • Proficient in using Microsoft Office Suite (Word, Excel, Outlook) • Ability to work in a fast-paced environment and handle multiple tasks simultaneously • Excellent problem-solving skills and the ability to make decisions under pressure • Strong understanding of medical terminology and coding. Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .