Financial Clearance Analyst - Patient Access

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.

Highlights:

Summary The Financial Clearance Analyst shall be responsible to ensure accounts are financially cleared prior to service.  The Analyst will demonstrate proficiency in all phase of financial clearance including scheduling, insurance verification, price estimation, verifying and obtaining authorizations, pre-certification, and medical necessity.  The Analyst 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. This individual 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. Additionally, the Analyst will participate in denial analysis and improvement related to clearance activities. This position may have additional duties assigned that are within scope of the role.

Education High School diploma or equivalent required. Degree preferred. Minimum 2 years’ experience in healthcare business office setting required. Hospital revenue cycle experience preferred.  Previous cash collections experience is preferred.

License/ Certifications CPAR or CHAA certification preferred

Knowledge/ Skills/ Abilities Excellent knowledge of MS Office and familiarity with relevant computer software. Strong team leadership skills, strong organization, interpersonal, and customer relations skills. Must be able to meet strict deadlines. Strong analytical and problem-solving ability, and excellent organizational skills. Must be able to complete multiple tasks simultaneously. Ability to remain calm in difficult situations. Strong written and oral communication skills, proficient computer skills, proven track record of successful performance. Ability to understand complex multifactor situations and bring appropriate solutions. Ability to work both independently and in a team environment. Knowledge of ICD-9, ICD-10, and CPT coding.

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