Campus Pride Jobs

Mobile Campus Pride Logo

Job Information

Allina Health System Financial Clearance Representative- Prior Authorization in Minneapolis, Minnesota

Date Posted: October 05, 2021 Department: 16001168 Revenue Cycle Management Utilization Management Shift: Day (United States of America) Hours Per Week: 40 Union Contract: Non-Union Weekend Rotation: None Job Summary: Responsible for completing the financial clearance process and creating the first impression of Allina's services to patients, their families and other external customers. Articulates information in a manner that patients, guarantors, and family members understand and will know what to expect regarding their financial responsibilities. Works with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial services. Job Description: Principle Responsibilities Perform daily Financial Clearance activities. 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(s) 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 works with patients so they understand their financial responsibilities Inform families with inadequate insurance coverage of financial assistance through government and financial assistance programs and refers the patient to financial counseling Review and analyzes 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 Other duties as assigned. Job Requirements High School or GED required Associate's or Vocational degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study preferred Less than 2 years experience with Insurance and Benefit Verification, Pre-Registration and/or Prior Authorization activities in healthcare business office/insurance operations required Experience working with clinical staff. Previous experience working in outpatient and/or inpatient healthcare settings preferred Experience working with clinical documentation. Previous experience working with a patients clinical medical record preferred Leadership Capabilities See the Big Picture: Know where we are going as an organization. Use sound judgement and critical thinking to make good decisions that support our mission. I know where Allina is going and how my role fits into this picture I capture important lessons and share them to foster innovation I am good at anticipating the implications of my decisions I understand and apply the disciplines of continuous improvement Inspire Greatness: Inspire others by connecting their purpose to the broader mission. Lead others through change and celebrate success. I help my team connect to the broader mission I see and fulfill my role in motivating the team around me I celebrate success and help my partners see what is possible with change I call out and address unexpected roadblocks or problems Foster Learning and Growth: Role model growth, ongoing development and self-care. Empower, coach and encourage others to be at their best selves. I role-