Financial Clearance Representative Associate jobs in United States
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Optum ยท 12 hours ago

Financial Clearance Representative Associate

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.

EducationHealth CareMedicalPharmaceutical
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H1B Sponsor Likelynote

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

Qualification

Insurance verificationFinancial clearance processMicrosoft Office proficiencyClinical documentationCustomer service skillsCommunication skillsWork in fast paced environments

Required

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

Preferred

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

Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.

H1B Sponsorship

Optum has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)

Funding

Current Stage
Late Stage

Leadership Team

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Daniel Castillo
Chief Executive Officer, Optum Care Delivery
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J
Jay Green
Chief Financial Officer
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Company data provided by crunchbase