Connecticut Licensed Financial Clearance Analyst

Job Summary

To support the financial operations of a healthcare facility, the full-time Connecticut Licensed Financial Clearance Analyst will manage complex patient authorizations, including insurance verification and medical necessity validation, while working remotely.

Key responsibilities

• Collects and validates patient insurance information, ensuring accuracy in the Epic system
• Obtains prior authorizations from third-party payers and communicates necessary information to patients and clinicians
• Maintains accurate records of authorizations and collaborates with departments to improve patient access and financial clearance activities

Required qualifications

• High school graduate or GED required; Associate Degree preferred
• CRCS or equivalent certification for Access Professionals required or in process (within 18 months of hire)
• Two to three years of experience in insurance authorization/verification or related areas preferred
• Strong organizational skills and knowledge of payer reimbursement processes
• Intermediate understanding of medical terminology and diagnostic coding (CPT, HCPCS, ICD-10-CM/PCS)