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Deloitte Lead Financial Clearance Representative in Minneapolis, Minnesota

Are you an experienced, passionate pioneer in technology? An industry solutions professional who wants to work in a collaborative environment. As an experienced Lead Financial Clearance Representative, you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. PDM practitioners are local to project locations, minimizing extensive travel, and provides you with a full career path within the firm.

Work you'll do/Responsibilities

  • Responsible for leading team of 5 in completing the financial clearance process and

  • Perform daily Financial Clearance activities

  • Perform financial clearance processes by collecting and recording all necessary information for pre-registration of patients

  • 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

  • Generate proactive price estimates

  • 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

  • Provide training and mentoring to experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role

  • Allocate daily assignments and coordinate closely with USI team leads in handoff of work

    The Team

    The US Core Technology Operations Offering encompasses industry vertical, sector specific solutions that leverage distinct technologies to drive operational change and automate the core our client's business. We incorporate expertise from across the firm to leverage common approaches, best practices, and strategic investments to scale these solutions according to industry strategy. Core Technology Operations in the market for a focus on transforming industry operations through industry technology solutions.

    Qualifications

    Required

  • Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience

  • 3-5 years' experience with Insurance and Benefit Verification, Pre-Registration and/or Prior Authorization activities in healthcare business office/insurance operations required

  • Experience calling US insurance companies

  • Limited immigration sponsorship may be available

    Preferred

  • Communication Skills: Able to communicate well in straight-forward situations

  • Functional Knowledge: Knowledgeable about his/her specific job

  • Problem Solving: Completes routine and repetitive tasks where tasks are straightforward

  • Analytical Thinking: Uses basic logic and common sense to arrive at solutions

  • Leadership: Able to lead and develop high performing teams

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

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