Financial Clearance Analyst: Patient Access & Authorization

Bristol Hospital Incorporated; Bristol (CT); On-site; USD 52,000 - 78,000; Full time

Job summary

Bristol Health is seeking a Financial Clearance Analyst to manage pre-service authorizations, verify insurance, and determine medical necessity for services. Working with provider practices and hospital departments, you will ensure timely pre-certifications and accurate records.

You will collaborate with revenue cycle teams, follow payer requirements, respond to inquiries, and support denial management. A bachelor’s degree and revenue cycle experience are preferred; strong communication and

Qualifications

• Bachelor's degree or higher in a related field preferred.
• 1+ year of revenue cycle experience or 2+ years of patient access, financial clearance or financial counselor experience with relevant exposure.
• Knowledge of payer contracts, regulations and guidelines as well as State and Federal laws relating to billing and patient access procedures.

Responsibilities

• Handle authorization process and obtain pre-certification approvals prior to service.
• Submit pre-authorization requests and follow up with payer to ensure timely approvals.
• Maintain accurate records of pre-certifications, approvals and denials.
• Follow up on authorization requests and coordinate with practices and departments.
• Respond to patient and insurance inquiries and provide Good Faith Estimates when required.
• Perform post-service reconciliations and denial follow up tasks.

Skills

Communication

Attention to detail

Problem solving

Teamwork

Organizational skills

Education

Bachelor's degree

Job description

Bristol Health is seeking a Financial Clearance Analyst to manage pre-service authorizations, verify insurance, and determine medical necessity for services. Working with provider practices and hospital departments, you will ensure timely pre-certifications and accurate records.

You will collaborate with revenue cycle teams, follow payer requirements, respond to inquiries, and support denial management. A bachelor’s degree and revenue cycle experience are preferred; strong communication and