Financial Clearance Analyst (Hybrid)

Financial Clearance Analyst (Hybrid) (251231-50009237) Purpose of Position: Review, analyze, develop, recommend and implement Process Improvement changes for the department to improve efficiency and workflow. Description Troubleshoot and evaluate Patient Access department workflows, make recommendations to management, and implement changes. Participate with management in strategizing for Process Improvement initiatives. Attend and participate in management meetings related to oversight of Patient Access Staff and third‑party vendors. Provide input and feedback for employee evaluations and make recommendations to management for productivity improvement opportunities. Be fully knowledgeable about all aspects of insurance verification and prior authorization requirements. Monitor and track denials originating from patient access and financial clearance areas and look to improve workflows to reduce the volume. Oversee and support the processes around scheduled patients without insurance coverage in relation to Revenue Cycle operational goals. Perform ongoing Quality Assurance analysis of HB & PB Workqueues with Registration and Authorization owning area. Recommend strategies to deal with problems that get identified during this process and implement agreed upon corrections. Regularly update knowledge of third‑party payor regulations, and update staff in writing of any changes as they become known. Support the prior authorization workflows and process with knowledge of prior authorization requirements and strategies for obtaining. Responsible for making sure that we stay current on industry changes, adapt our processes to meet these changes and ensure that our Business Office runs smoothly as the result of having finely tuned financial clearance and scheduling processes. Regularly update knowledge of state and federal regulations to ensure compliance around providing patient estimates. Utilize programs such as Experian OneSource, AIM, Eversource, and individual payer websites to identify and verify insurance coverage for patients. Works in collaboration with other CCH departments to improve the revenue cycle process in an effort to improve processes that enhance service and patient relations. Perform other work related duties as assigned or requested. Consistently provides service excellence to all patients, family members, visitors, volunteers and co‑workers. Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence. Qualifications Associate degree required, BA or BS desired. Minimum of 3 – 5 years’ experience in a large hospital’s Revenue Cycle and/or Patient Access Department with an emphasis on Scheduling and Financial Clearance strongly preferred. Experience with large hospital information systems is preferred, preferably Epic. Expert computer skills with an emphasis on MS Office programs and data analysis required. Expert verbal and written communication skills are required. Schedule Details Full‑time, 40 Hours Per Week, Mon‑Fri, Core hours: 8a‑5p, potential for hybrid remote. Organization Primary Location: Massachusetts‑Hyannis Compensation Annual/Hourly: Hourly Hiring Pay Range: $29 - $37 The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare’s benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full‑time employment. Beware scam interview requests Cape Cod Healthcare has been made aware of an instance in which a potential scammer has attempted to impersonate CCHC leadership and request chat interviews. Please note this is not our process and we will never direct you to interview solely through web‑based chat. For any questions about available job opportunities or to learn more about our interview process please visit our careers page: #J-18808-Ljbffr