Financial Clearance Analyst, Team Lead

Baptist Health - Central Alabama; Montgomery (AL); On-site; USD 55,000 - 75,000; Full time

Job summary

Baptist Health Resource Center in Montgomery, AL seeks a Financial Clearance Analyst, Team Lead to supervise the clearance team and ensure pre-service financial clearance across scheduling, insurance verification, and authorization processes.

The role requires knowledge of medical necessity, payer regulations, and a commitment to efficient patient access workflows. Hospital revenue cycle experience is preferred, with strong analytic and leadership capabilities.

Qualifications

• Experience in healthcare revenue cycle operations and denial analysis.
• Strong MS Office and computer software skills.
• Ability to supervise a team and meet deadlines.

Responsibilities

• Lead the Financial Clearance team and ensure pre-service clearance.
• Verify insurance, obtain authorizations, and determine benefits.
• Participate in denial analysis and process improvement.

Skills

Leadership

Analytical skills

MS Office proficiency

Customer relations

Education

High School diploma or equivalent

Degree preferred

Tools

MS Office

Hospital software

Job description

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.

Summary

The Financial Clearance Analyst, Team Lead shall be responsible to ensure accounts are financially cleared prior to service. The Team Lead 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 Team Lead 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 Team Lead will be proficient in all Patient Access processes including tasks routinely performed by a registrar, financial counselor, scheduler, or authorization associate. Additionally, the Team Lead will participate in denial analysis and improvement related to clearance activities. The Team Lead will be responsible to supervise the Financial Clearance team. 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.

Primary Location

Baptist Health Resource Center

Job

Financial Clearance Analyst, Team Lead

Job Type

Regular-Full time

Shift

First Shift (United States of America)