Financial Clearance Analyst, Team Lead

The Health Care Authority for Baptist Health, An Affiliate of UAB Health System; United States; On-site; USD 52,000 - 78,000; Full time

Job summary

Baptist Health, a leading healthcare system in central Alabama, is seeking a Financial Clearance Analyst, Team Lead. This role oversees the end-to-end financial clearance process, including scheduling, verification, authorizations, and insurance coordination.

You will guide staff and ensure compliant patient access workflows while supporting denial analysis and process improvements. Ideal candidates have a High School diploma (degree preferred) and at least 2 years in healthcare business office

Qualifications

• High School diploma or equivalent required; degree preferred.
• Minimum 2 years’ experience in healthcare business office settings.
• Hospital revenue cycle experience preferred; cash collections experience preferred.

Responsibilities

• Ensure accounts are financially cleared prior to service.
• Perform scheduling, insurance verification, price estimation, and authorizations.
• Handle pre-certification and medical necessity assessments.
• Maintain knowledge of third-party payer regulations and guidelines.
• Determine benefit and coverage levels and connect patients with financial assistance.
• Supervise the Financial Clearance team and participate in denial analysis.

Skills

Leadership

MS Office

Analytical

Customer relations

Communication

Multitasking

ICD-9/ICD-10/CPT coding

Teamwork

Scheduling

Problem-solving

Education

High School diploma or equivalent

Degree preferred

2 years healthcare business office experience

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.

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 Lead

Job Type

Regular-Full time

Shift

First Shift (United States of America)

Baptist Health is recognized by Forbes as one of America’s best employers in the state of Alabama.