Financial Clearance Analyst

Baptist Health - Central Alabama; Montgomery (AL); On-site; USD 42,000 - 60,000; Full time

Job summary

Baptist Health - Central Alabama is seeking a Financial Clearance Analyst to ensure accounts are cleared before service. The role handles scheduling, insurance verification, price estimation, authorizations, pre-certification, and medical necessity, with knowledge of payer regulations and potential patient financial assistance.

Requirements include a high school diploma or equivalent, with at least 2 years in a healthcare business office; CPA or CHAA/CPAR certification preferred.

Qualifications

• High school diploma or equivalent required; degree preferred.
• Minimum 2 years’ experience in a healthcare business office setting.
• CPAR or CHAA certification preferred.

Responsibilities

• Ensure accounts are financially cleared prior to service.
• Perform scheduling, insurance verification, price estimation, and obtaining authorizations.
• Conduct pre-certification and verify medical necessity; determine benefit and coverage levels.
• Connect patients with financial assistance resources as needed.
• Participate in denial analysis and improvement related to clearance activities.

Skills

MS Office

Analytical skills

Communication skills

Team leadership

Time management

Problem solving

ICD-9/ICD-10/CPT coding

Independent and team work

Education

High school diploma or equivalent

Degree preferred

Job description

Company Overview

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.

Additional Information

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

Job Title

Financial Clearance Analyst

Job Summary

The Financial Clearance Analyst shall be responsible to ensure accounts are financially cleared prior to service. The Analyst will demonstrate proficiency in all phases 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 & Experience

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

Licensing & Certifications

CPAR or CHAA certification preferred.

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.

Location

Corporate.

Job Type & Shift

Regular – Full time. First Shift (United States of America).