Financial Clearance Representative Lead

About the role

Optum, in partnership with Allina Health, is hiring a Financial Clearance Representative Lead in Plymouth, Minnesota. The role leads the financial clearance process and gives patients, families and other external customers their first impression of Allina's services, explaining financial responsibilities clearly. It works with medical staff, nursing, ancillary departments, insurance payers and other external sources, and coaches and mentors experienced staff. The position offers the option to telecommute from anywhere in the U.S.

Key responsibilities

• Perform financial clearance by interviewing patients, collecting and recording information for pre-registration
• Educate patients on policies such as patient rights, HIPAA, consents and visiting hours
• Verify insurance eligibility, confirm coverage and explain benefits, coverage limits and patient liabilities
• Provide proactive price estimates and refer patients with inadequate coverage to financial assistance programs
• Review visit information to determine if authorization is needed and obtain authorizations in a timely manner
• Perform enhanced clearance tasks such as admission reviews, admission/discharge notifications, expanded benefit reviews and financial counseling
• Lead the Financial Clearance team: assign work, set standards, run improvement plans, report backlogs and resolve complex accounts
• Mentor and coach less experienced staff, train new hires, run quality assurance reviews and act as backup when needed

Required profile

• 4+ years of experience with insurance and/or benefit verification in healthcare business office or insurance operations
• 1+ year of experience as a Financial Clearance Representative
• Available Monday to Friday, 7 AM to 3:30 PM CST
• Age 18 or older
• Preferred: associate's or vocational degree in a business or health administration field, experience with clinical staff, outpatient/inpatient settings, clinical documentation and patient medical records

Required skills

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

What we offer

• Hourly pay of $20.00 to $36.00 for full-time employment
• Paid time off starting in the first pay period plus 8 paid holidays
• Medical, dental, vision, life and disability insurance, plus 401(k) and employee stock purchase plan
• Education reimbursement, employee discounts, employee assistance program and referral bonus