Financial Clearance Specialist
Company: University of Maryland Medical System
Location: Glen Burnie
Posted on: February 17, 2026
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Job Description:
Job Description Job Description Company Description Experience
the highest level of appreciation at UM Baltimore Washington
Medical Center — named Top Workplace in the Baltimore area by The
Baltimore Sun two years in a row (2019 & 2020); Top Workplace in
the USA for 2021! As part of the acclaimed University of Maryland
Medical System, our facility is one of three ANCC Pathway to
Excellence® designated hospitals in Maryland. UM BWMC features one
of the state’s busiest emergency departments, as well as a team of
experts who care for our community and one another. The University
of Maryland Baltimore Washington Medical Center (UMBWMC) provides
the highest quality health care services to the communities we
serve. Our medical center is home to leading-edge technology,
nationally recognized quality, personalized service and outstanding
people. We have 285 licensed beds and we’re home to 3,200 employees
and over 800 physicians. Our expert physicians and experienced,
compassionate staff are connected to medical practices in the local
community as well as at University of Maryland Medical Center in
downtown Baltimore. For patients, this means access to high-quality
care and research discoveries aimed at improving Maryland’s health.
Our physicians and nursing staff specialize in emergency, acute,
medical-surgical and critical care. In addition, our medical center
is home to many Centers of Excellence, offering expert outpatient
health care Job Description Location: 1720 Crain Hwy S, Glen
Burnie, MD 21061 Schedule: Monday-Friday, 8AM-4:30PM General
Summary: Under general supervision, responsible for processing the
patient, insurance and financial clearance aspects for both
scheduled and non-scheduled appointments, including, validation of
insurance and benefits, routine and complex pre-certification,
prior authorizations, and scheduling/pre-registration. Responsible
for triaging routine financial clearance work. Principal
Responsibilities and Tasks The following statements are intended to
describe the general nature and level of work being performed by
people assigned to this classification. These are not to be
construed as an exhaustive list of all job duties performed by
personnel so classified. Processes administrative and financial
components of financial clearance including, validation of
insurance/benefits, medical necessity validation, routine and
complex pre-certification, prior-authorization,
scheduling/pre-registration, patient benefit and cost estimates, as
well as pre-collection of out of pocket cost share and financial
assistance referrals. Initiates and tracks referrals, insurance
verification and authorizations for all encounters. Utilizes third
party payer websites, real-time eligibility tools, and telephone to
retrieve coverage eligibility, authorization requirements and
benefit information, including copays and deductibles. Works
directly with physician’s office staff to obtain clinical data
needed to acquire authorization from carrier. Inputs information
online or calls carrier to submit request for authorization;
provides clinical back up for test and documents approval or
pending status. Identifies issues and problems with
referral/insurance verification processes; analyzes current
processes and recommends solutions and improvements. Reviews and
follows up on pending authorization requests. Coordinates and
schedules services with providers and clinics. Researches delays in
service and discrepancies of orders. Assists management with denial
issues by providing supporting data. Pre-registers patients to
obtain demographic and insurance information for registration,
insurance verification, authorization, referrals and bill
processing. Develops and maintains a working rapport with
inter-departmental personnel including ancillary departments,
physician offices, and financial services. Assists Medicare
patients with the Lifetime Reserve process where applicable.
Reviews previous day admissions to ensure payer notification upon
observation or admission. Must be willing to travel between
facilities as needed (applies to specific UMMS Facilities).
Performs other duties as assigned. Qualifications Education and
Experience High School Diploma or equivalent is required. Minimum 2
years of experience in healthcare revenue cycle, medical office,
hospital, patient access or related experience. Experience in
healthcare registration, scheduling, insurance referral and
authorization processes preferred. Knowledge, Skills and Abilities
Knowledge of medical and insurance terminology. Knowledge of
medical insurance plans, especially manage care plans. Ability to
understand, interpret, evaluate, and resolve basic customer service
issues. Excellent verbal communication, telephone etiquette,
interviewing, and interpersonal skills to interact with peers,
superiors, patients, and members of the healthcare team and
external agencies. Intermediate analytical skills to resolve
problems and provide patient and referring physicians with
information and assistance with financial clearance issues. Basic
working knowledge of UB04 and Explanation of Benefits (EOB). Some
knowledge of medical terminology and CPT/ICD-10 coding. Demonstrate
dependability, critical thinking, and creativity and
problem-solving abilities. Knowledge of registration and admitting
services, general hospital administrative practices, operational
principles, The Joint Commission, federal, state, and legal
statutes preferred. Knowledge of the Patient Access and hospital
billing operations of Epic preferred. Additional Information All
your information will be kept confidential according to EEO
guidelines. Compensation: Pay Range: $18.17 - $23.05 Other
Compensation (if applicable): Review the 2025-2026 UMMS Benefits
Guide Like many employers, UMMS is being targeted by cybercriminals
impersonating our recruiters and offering fake job opportunities.
We will never ask for banking details, personal identification, or
payment via email or text. If you suspect fraud, please contact us
at careers@umms.edu.
Keywords: University of Maryland Medical System, Sterling , Financial Clearance Specialist, Healthcare , Glen Burnie, Virginia
