[Remote] Financial Clearance Representative Associate

Note: The job is a remote job and is open to candidates in USA. Optum, in strategic partnership with Allina Health, is seeking a Financial Clearance Representative Associate to support the Allina Health account. This role involves completing the financial clearance process and ensuring that patients understand their financial responsibilities regarding healthcare services.

Responsibilities

• Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre-registration of patients
• Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc
• Verify insurance eligibility and completes automated insurance eligibility verification, when applicable and appropriately documents information in Epic
• Confirm that a patient's health insurance(s) is active and covers the patient's procedure
• Confirm what benefits of a patient's upcoming visit/stay are covered by the patient's insurance, including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided
• Provide proactive price estimates and work with patients so they understand their financial responsibilities
• Inform families with inadequate insurance coverage of financial assistance through government and financial assistance programs and refer the patient to financial counseling
• Review and analyze patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible
• May provide mentoring to less experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role
• Meet and maintain department productivity and quality expectations

Skills

• High School Diploma/GED (or higher)
• 6+ months of experience with insurance and benefit verification, pre-experience with registration and/or prior authorization activities in healthcare business office/insurance operations
• Intermediate level of proficiency with Microsoft Office Products
• Must be 18 years of age OR older
• Associate's Degree or Vocational degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study
• Experience working with clinical staff
• Previous experience working in outpatient and/or inpatient healthcare settings
• Experience working in clinical documentation
• Previous experience working with a patient's clinical medical record

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Company Overview

Company H1B Sponsorship