Authorization Specialist/Financial Clearance Analyst Full Time 40 hours

Job Location: BHI Bristol Hospital Main Campus - Bristol, CT 06010 Position Type: Full Time Education Level: High School Job Shift: 1st Shift (Days) At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents, and families. We are committed to provide compassionate, quality care at all times and uphold our values of Communication, Accountability, Respect, and Empathy. Use your expertise, compassion, and kindness to transform the patient experience. Job Summary Under the direction of the Manager of Pre‑Service and Financial Clearance, the Financial Clearance Analyst is responsible for the financial clearance of scheduled patient authorizations, including insurance verification and validation of medical necessity for services. The analyst works in coordination with provider practices and hospital departments to ensure all scheduled services are reviewed for required authorizations and cleared in advance. The analyst also collaborates with other revenue cycle teams to ensure proper billing requirements are met and denials are proactively addressed. Responsibilities Handle authorization process and obtain pre‑certification approvals prior to service. Submit pre‑authorization requests and follow up with payer to ensure timely approvals. Maintain accurate records and reports of pre‑certifications, approvals, and denials. Work assigned worklists and submit authorization information according to payer requirements. Follow up on authorization requests and coordinate with practices and departments according to established policies. Collaborate with revenue cycle team and participate in monthly meetings to review payment and denial trends. Coordinate with provider practices and hospital departments to ensure timely scheduling of patient procedures. Respond to patient and insurance inquiries and provide Good Faith Estimates when required. Perform post‑service reconciliations and denial follow‑up tasks. Act as a back‑up to the Financial Counselor team, supporting Notice of Admission and Financial Assistance activities. Adhere to applicable policies and procedures, including HIPAA compliance, and state and federal regulations. Perform other duties as assigned. Qualifications Ability to ensure quality and integrity of assigned tasks and meet productivity standards. Patient‑centric approach to answer questions and provide information professionally. Teamwork, cooperation, and collaboration within and outside the team. Effective oral, written, and interpersonal communication skills. Problem‑solving abilities in a variety of settings and translation of data into actionable steps. Understanding of payer requirements. Ability to work independently and take initiative. Excellent customer service, communication, organizational, and analytical skills. Initiative and ability to multi‑task while working independently. Strong organizational skills and systems aptitude. Required Education / Experience Bachelor’s degree and a minimum of 1 year of revenue cycle experience. Associate’s degree and a minimum of 2 years of patient access, financial clearance, or financial counselor experience. High School Diploma and a minimum of 5 years of patient access, financial clearance, or financial counselor experience. Experience with payer portals and requirements preferred. Familiarity with medical and insurance terminology. Knowledge of payer contracts, regulations, guidelines and state and federal laws relating to billing, collections, and patient access procedures. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. #J-18808-Ljbffr Bristol Hospital Group