Financial Clearance Representative Associate - Therapy Prior Authorizations

Opportunities at Optum, in Strategic Partnership with Allina Health

As an Optum employee, you will provide support to the Allina Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing Together.

Financial Clearance Representative Associate

The Financial Clearance Representative Associate is responsible for completing the financial clearance process and creating the first impression of Optum services to patients, their families, and other external customers. You will articulate information in a manner that patients, guarantors, and family members understand and will know what to expect regarding their financial responsibilities. Work with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial services.

You will enjoy the flexibility to telecommute

• from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

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

Ensure that initial and all subsequent authorizations are obtained in a timely manner

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

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications :

High School Diploma / GED (or higher)

6+ months of experience with Prior Authorization activities in healthcare business office / insurance operations

Intermediate level of proficiency with Microsoft Office products

Ability to work within Central Time zone standard daytime hours

Must be 18 years of age or older

Preferred Qualifications :

Associate or Vocational Degree in Business Administration, Health Care Administration, Public Health or related field of study

EPIC experience

Experience with insurance and benefit verification, Pre-Registration and / or Prior Authorization activities in healthcare business / office setting

Experience working with clinical staff

Experience working with clinical documentation

Experience working with a patient's clinical medical record

Soft Skills :

Excellent customer service skills

Excellent written and verbal communication skills

Demonstrated ability to work in fast paced environments

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.