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Medical Clearance Operations Specialist

4 weeks ago

Minneapolis, Minnesota, United States Optum Full time

About the Role

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We are seeking a skilled Medical Clearance Operations Specialist to join our team at Optum in strategic partnership with Allina Health. As an integral member of our operations team, you will play a critical role in supporting the financial clearance process and creating a positive first impression of Optum services for patients, their families, and external customers.

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Key Responsibilities:

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  • Review and analyze patient visit information to determine whether authorization is needed and ensure payor-specific criteria are met for secure authorization and account clearance prior to service where possible.">
  • Ensure timely initial and subsequent authorizations are obtained, maintaining high productivity and quality expectations.">
  • Provide guidance and mentoring to less experienced team members on revenue cycle management, payer issues, policy matters, and other aspects impacting their roles.">
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What We Offer

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As a Medical Clearance Operations Specialist at Optum, you will have the opportunity to work in a dynamic team environment with medical staff, nursing, ancillary departments, insurance payers, and external sources. You will also enjoy flexibility in telecommuting options if you reside near Minneapolis, MN. Our team is committed to delivering equitable care that addresses health disparities and improves health outcomes.

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Requirements:

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  • High School Diploma / GED (or higher) required; experience with Prior Authorization activities in healthcare business office/insurance operations is preferred.">
  • Intermediate level of proficiency with Microsoft Office products, including EPIC experience.">
  • Ability to work 8:00am – 4:30pm, Monday-Friday, with a minimum of 6+ months of experience in healthcare business operations.">
  • Must be 18 years or older.">
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Benefits and Perks

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In addition to your competitive salary ($44,640 - $53,320 per annum), you can expect a comprehensive benefits package, including opportunities for career development and growth within our organization. At Optum, we value diversity and inclusion, and we strive to create a workplace culture that reflects these values. If you are passionate about making a difference in healthcare and are looking for a challenging and rewarding career opportunity, apply today

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Working Environment

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You will be working in a fast-paced, dynamic environment with a talented team of professionals who share your commitment to delivering exceptional care and improving health outcomes. With opportunities for professional growth and development, you will be empowered to make a meaningful impact in the lives of our patients and communities.

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Why Join Us?

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At Optum, we are dedicated to advancing health equity and improving health outcomes for all. By joining our team, you will become part of a larger movement to create a more just and equitable healthcare system. We believe that everyone deserves access to quality care, regardless of their background or circumstances. Join us in our mission to transform healthcare and improve lives

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Contact Information

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If you are interested in learning more about this exciting opportunity, please do not hesitate to reach out. We look forward to hearing from you