[Remote] Financial Clearance Representative Associate

Remote, USA Full-time
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 Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group. It was founded in 2011, and is headquartered in Eden Prairie, Minnesota, USA, with a workforce of 10001+ employees. Its website is Company H1B Sponsorship Optum has a track record of offering H1B sponsorships, with 648 in 2025, 559 in 2024, 620 in 2023, 851 in 2022, 593 in 2021, 438 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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