Financial Clearance Analyst, Team Lead

Baptist Health

1d

About The Position

The Financial Clearance Analyst, Team Lead ensures accounts are financially cleared prior to service. The role requires proficiency across financial clearance processes, including scheduling, insurance verification, price estimation, authorization and pre-certification, and medical necessity review. The Team Lead maintains knowledge of third-party payer regulations and guidelines for assigned service lines, including medical necessity and authorization requirements. The role determines benefit and coverage levels and connects patients with financial assistance resources as needed.

The Team Lead is proficient in Patient Access processes and tasks commonly performed by registrars, financial counselors, schedulers, and authorization associates. The position participates in denial analysis and improvement related to clearance activities and supervises the Financial Clearance team. Additional duties within the scope of the role may be assigned.

Requirements

• High school diploma or equivalent required.
• At least 2 years of experience in a healthcare business office setting required.
• Excellent knowledge of MS Office and familiarity with relevant computer software.
• Strong team leadership, organizational, interpersonal, and customer relations skills.
• Ability to meet strict deadlines and manage multiple tasks simultaneously.
• Strong analytical and problem-solving abilities.
• Ability to remain calm in difficult situations.
• Strong written and oral communication skills and proficient computer skills.
• Proven track record of successful performance.
• Ability to understand complex multifactor situations and develop appropriate solutions.
• Ability to work independently and in a team environment.
• Knowledge of ICD-9, ICD-10, and CPT coding.

Nice To Haves

• Degree preferred.
• Hospital revenue cycle experience preferred.
• Previous cash collections experience preferred.
• CPAR or CHAA certification preferred.

Responsibilities

• Ensure accounts are financially cleared prior to service.
• Perform financial clearance activities, including scheduling, insurance verification, price estimation, obtaining authorizations and pre-certification, and reviewing medical necessity.
• Maintain knowledge of third-party payer regulations and guidelines for assigned service lines.
• Determine benefit and coverage levels and connect patients with financial assistance resources as needed.
• Perform Patient Access processes and tasks commonly handled by registrars, financial counselors, schedulers, and authorization associates.
• Participate in denial analysis and improvement related to clearance activities.
• Supervise the Financial Clearance team.
• Perform additional duties within the scope of the role as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED