Financial Clearance Analyst

About the role

The Financial Clearance Analyst shall be responsible to ensure accounts are financially cleared prior to service. The Analyst will demonstrate proficiency in all phases of financial clearance including scheduling, insurance verification, price estimation, verifying and obtaining authorizations, pre-certification, and medical necessity.

Responsibilities

• Demonstrate proficiency in all phase of financial clearance including scheduling, insurance verification, price estimation, verifying and obtaining authorizations, pre-certification, and medical necessity.
• 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.
• Determine benefit and coverage levels and connect patients with financial assistance resources as needed.
• Be proficient in all Patient Access processes including tasks routinely performed by a registrar, financial counselor, scheduler, or authorization associate.
• Participate in denial analysis and improvement related to clearance activities.

Requirements

• 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.

Qualifications

• CPAR or CHAA certification preferred.

Skills

• 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.

Pay

N/A

Schedule

N/A

Benefits

N/A