Experienced Financial Clearance Representative Associate – Remote Healthcare Financial Services

About Us

At Optum, in strategic partnership with Allina Health, we're committed to advancing health equity on a global scale. Our mission is to connect people with the care, pharmacy benefits, data, and resources they need to feel their best. We're a culture guided by diversity and inclusion, with talented peers who share our passion for making a difference in the communities we serve.

As a Financial Clearance Representative Associate, you'll be part of a team that's dedicated to improving health outcomes and providing exceptional patient experiences. You'll have the opportunity to work in a fast-paced environment, collaborating with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial services.

Job Summary

We're seeking an experienced Financial Clearance Representative Associate to join our team in a remote near Minneapolis, MN. As a key member of our revenue cycle team, you'll be responsible for completing the financial clearance process, creating a positive first impression of Optum services to patients, their families, and external customers. You'll articulate complex information in a clear and concise manner, ensuring patients and their families understand their financial responsibilities.

Primary Responsibilities

• Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre-registration of patients.
• Educate patients on pertinent policies, such as Patient Rights, HIPAA information, consents for treatment, visiting hours, etc.
• Verify insurance eligibility and complete automated insurance eligibility verification, when applicable, and document 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 to 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 understand 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.

Requirements

To be successful in this role, you'll need:

• A 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
• 18 years old or older

Preferred Qualifications

We're looking for candidates with:

• An Associate 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 with clinical documentation
• Previous experience working with a patient's clinical medical record

Soft Skills

We're looking for candidates with:

• Excellent customer service skills
• Excellent written and verbal communication skills
• Demonstrated ability to work in fast-paced environments

Career Growth Opportunities and Learning Benefits

We offer a range of career growth opportunities and learning benefits, including:

• Comprehensive training programs to help you develop your skills and knowledge
• Opportunities for professional development and advancement
• A supportive and collaborative work environment
• Access to cutting-edge technology and tools

Work Environment and Company Culture

We're a remote-friendly organization, offering the flexibility to work from home and enjoy a better work-life balance. Our company culture is guided by diversity and inclusion, with a focus on creating a positive and supportive work environment. We're committed to making a difference in the communities we serve and offer a range of opportunities for community involvement and volunteer work.

Compensation, Perks, and Benefits

We offer a competitive salary, comprehensive benefits, and a range of perks, including:

• Medical, dental, and vision insurance
• Retirement savings plan
• Flexible paid time off
• Professional development opportunities
• Access to on-site fitness center and wellness programs

How to Apply

If you're a motivated and detail-oriented individual with a passion for delivering exceptional patient experiences, we encourage you to apply for this exciting opportunity. Don't worry if you don't meet every single requirement – we value a great attitude and a willingness to learn above all. Submit your application today and take the first step towards a rewarding career with Optum!