Financial Clearance Analyst, Team Lead

Baptist Health; Montgomery (AL); Presencial; USD 52.000 - 76.000; Jornada completa

Descripción de la vacante

Baptist Health Resource Center is seeking a Financial Clearance Analyst, Team Lead to oversee the financial clearance process for services. The role requires expertise in scheduling, insurance verification, price estimation, authorizations, pre-certification, and medical necessity.

The Team Lead will supervise the Financial Clearance team, manage denial analysis, and ensure adherence to payer regulations. Strong MS Office skills, organizational ability, and healthcare experience are essential.

Formación

• High School diploma or equivalent required; degree preferred.
• Minimum 2 years’ experience in healthcare business office setting; hospital revenue cycle experience preferred.
• CPAR or CHAA certification preferred; strong MS Office and computer skills desired.

Responsabilidades

• Ensure accounts are financially cleared prior to service.
• Handle scheduling, insurance verification, price estimation, and patient authorizations.
• Perform pre-certification and assess medical necessity; stay current with payer regulations.
• Supervise Financial Clearance team and participate in denial analysis for process improvement.
• Coordinate with patients and financial counselors; maintain strong organizational skills.

Conocimientos

Team leadership

Communication

Organization

Analytical/problem-solving

Customer relations

Educación

High School diploma

Bachelor's degree preferred

Herramientas

MS Office

Hospital software/billing systems

Descripción del empleo

Financial Clearance Analyst, Team Lead# Careers## Financial Clearance Analyst, Team LeadApply: 1- Onsite: Baptist Health Resource Center: Full time: Posted Today: JR107601Baptist 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, 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 LeadFinancial Clearance Analyst, Team Lead**Job Type:**Regular-Full time**Shift**:First Shift (United States of America)