Financial Clearance Analyst

Baptist Health - Alabama Montgomery , AL 36101

Posted 7 days ago

Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties.

To learn more about Baptist Health, visit us at https://www.baptistfirst.org.

The Financial Clearance Analyst is responsible for ensuring accounts are financially cleared prior to service. The Analyst demonstrates proficiency in all phase of financial clearance including: scheduling, insurance verification, price estimation, verifying and obtaining authorizations, pre-certification, and medical necessity.

The position will maintain a proficient understanding of third party payer regulations and guidelines for assigned service lines, including a working knowledge of medical necessity and authorization requirements. The Analyst will determine benefit and coverage levels and connect patients with financial assistance resources as needed.

The Analyst will be proficient in all Patient Access processes including tasks routinely performed by a registrar, financial counselor, scheduler, or authorization associate. The position participates in denial analysis and improvement related to clearance activities.

  • High school graduate or equivalent required; preferred post-secondary education.

  • Minimum (2) two-years experience in healthcare business office setting required.

  • Hospital revenue cycle experience preferred. Previous cash collections experience is preferred.

  • Certification preferred: CPAR or CHAA Knowledge of hospital billing and revenue cycle

  • Ability to manage multiple tasks simultaneously with minimal supervision and to work independently

  • Strong interpersonal, oral and written communication skills to effectively interact with a wide range of audiences

  • Knowledge of common office software Ability to work in a fast paced often stressful environment

  • Ability to work in a 24 hour department with varying shifts, days and holidays

  • The ability to de-escalate sensitive and rapidly changing situations

  • Knowledge of federal, commercial and managed care payers

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Financial Clearance Analyst

Baptist Health - Alabama