Financial Clearance Representative Associate - Remote - Patient Financial Services Team - Optum Partnership with Allina Health
Join the Optum Team as a Financial Clearance Representative Associate - Remote and Make a Difference in Patient Care
Are you a motivated and detail-oriented individual looking for a challenging role in patient financial services? Do you want to be part of a team that makes a positive impact on people's lives? Look no further! We are seeking a Financial Clearance Representative Associate - Remote to join our team at Optum, in strategic partnership with Allina Health. As a Financial Clearance Representative Associate, you will play a critical role in ensuring that patients receive the care they need while navigating the complexities of healthcare financing.
About Optum and Our Partnership with Allina Health
Optum is a leading health services company that helps people live healthier lives. We are proud to partner with Allina Health, a not-for-profit health system, to provide high-quality care to communities across the United States. Our team is dedicated to delivering exceptional patient experiences, and we are committed to fostering a culture of diversity, inclusion, and equity.
Job Summary
The Financial Clearance Representative Associate - Remote will be responsible for completing the financial clearance process and creating a positive first impression of Optum services to patients, their families, and other external customers. This role requires excellent communication and customer service skills, as well as the ability to work in a fast-paced environment and navigate complex healthcare systems.
Key Responsibilities
- Resolve accounts resulting from inadequate claim field data, incorrect data in fields, or non-populated required data fields that prohibit accurate and timely claim submission
- Perform manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources in order to accurately bill medical provider professional fees
- Educate patients of pertinent policies as necessary, including 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 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
- 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 and Qualifications
Essential Qualifications:
- High School Diploma/GED (or higher)
- 6 months of billing experience within a hospital or clinic setting
- Intermediate level of proficiency with Microsoft Office products
- Must be 18 years or older
Preferred Qualifications:
- EPIC experience
- Associate 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
- Experience working with a patient's clinical medical record
Soft Skills and Competencies
To succeed in this role, you will need to possess the following soft skills and competencies:
- Excellent customer service skills
- Excellent written and verbal communication skills
- Demonstrated ability to work in fast-paced environments
- Ability to navigate complex healthcare systems and software applications
- Strong analytical and problem-solving skills
- Ability to work independently and as part of a team
What We Offer
At Optum, we are committed to providing our employees with a supportive and inclusive work environment that fosters growth and development. Here are just a few of the benefits and perks we offer:
- Competitive salary and benefits package
- Opportunities for career growth and professional development
- Comprehensive training and onboarding program
- Flexible work arrangements, including remote work options
- Access to cutting-edge technology and software applications
- Diverse and inclusive work environment
- Recognition and rewards for outstanding performance
Why Join Our Team?
By joining our team as a Financial Clearance Representative Associate - Remote, you will have the opportunity to make a positive impact on patients' lives and contribute to the delivery of high-quality care. You will also be part of a dynamic and supportive team that values diversity, inclusion, and equity. Here are just a few reasons why you should consider joining our team:
- Make a difference in patient care and outcomes
- Be part of a team that values diversity, inclusion, and equity
- Enjoy a flexible and supportive work environment
- Develop your skills and advance your career
- Receive competitive compensation and benefits
How to Apply
If you are a motivated and detail-oriented individual looking for a challenging role in patient financial services, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you!