Financial Clearance Representative Senior-Transplant

Allina Health; Minneapolis (MN); On-site; USD 54,000 - 74,000; Full time

Benefits offered by this job

Medical/Dental

PTO/Time Away

Retirement Savings Plans

Life Insurance

Disability (short/long-term)

Student Loan Support

Job summary

Allina Health is seeking a Financial Clearance Specialist for the pre-transplant/VAD program in Minneapolis. You will screen insurance, verify benefits, determine patient financial resources, and communicate requirements to patients and staff.

The role includes obtaining authorizations, coordinating with payers, and mentoring junior team members to ensure timely pre-registration and accurate billing for transplant procedures.

Qualifications

• Must be 18+ years old with required competencies per job description.
• 5+ years of experience with Insurance and Benefit Verification.
• Preferred: Associate or higher in business/healthcare fields.

Responsibilities

• Perform pre-transplant/VAD insurance screening and verification for referrals.
• Communicate coverage details and patient financial responsibilities clearly.
• Obtain and track authorizations for transplant/VAD procedures.
• Provide mentoring and guidance to senior staff and colleagues.

Skills

Insurance Verification

Prior Authorization

Healthcare Office Systems

Education

High school diploma or GED

Associate degree or higher

Job description

Location Address: 2800 10th Ave Receiving Dock Minneapolis, MN 55407-1311 Date Posted: September 24, 2026 Department: 31009920 AHMHI Heart Transplant MPLS Shift: Day (United States of America) Shift Length: 8 hour shift Hours Per Week: 40 Union Contract: Non-Union-NCT Weekend Rotation: None

Job Summary

Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career.

Key Position Details

1.0 FTE (80 hours per two-week pay period) 8-hour day shift No weekends

Job Description

Responsible for completing the financial clearance process and creating the first impression of Allina's services to pre-transplant/VAD patients, their families and other external customers. Articulate information in a manner that pre-transplant/VAD 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. Functions as a subject matter expert for the pre-transplant/VAD department. Coaches and mentors less experienced staff on all aspects of financial clearance.

Principal Responsibilities

Performs pre-transplant/VAD insurance screening and verification for all transplant/VAD patient referrals, including enrollment, benefits and deductible and co-pay amounts. Determines whether patients have adequate financial resources for transplant/VAD services. Communicates results of insurance screening to patient, transplant or VAD coordinator and physician, social worker and financial personnel. Prepares letter of request for prior authorization of insurance coverage for transplant/VAD surgery, providing documentation of medical necessity and transplant/VAD candidacy according to criteria. Requests prior authorization for transplant related admissions and procedures including mechanical assist device implantation. Maintains contact with insurance company to update prior authorizations and determine whether benefits have changed. Informs insurance company of patient's transplant or mechanical assist device implant. Serves as a resource to patients, families and staff regarding financial issues related to transplantation. Coordinates patient billing for transplant and mechanical device implant procedures. Serves as resource and hospital representative to third party payers and other health care providers. Performs daily Financial Clearance activities. Performs financial clearance processes by interviewing patients and collecting and recording all necessary information for pre-registration of patients. Educates patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc. Verifies insurance eligibility and completes automated insurance eligibility verification, when applicable and appropriately documents information in Epic. Confirms that a patient’s health insurance(s) is active and covers the patient’s procedure. Confirms 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. Provides proactive price estimates and works with patients so they understand their financial responsibilities Informs families with inadequate insurance coverage of financial assistance through government and financial assistance programs and refers the patient to financial counseling. Reviews 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. Ensures that initial and all subsequent authorizations are obtained in a timely manner. Provides mentoring and daily workflow coaching to less experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role. Performs Enhanced Financial Clearance activities. May complete admission reviews for hospital admissions to support the authorization process. May complete notification of hospital admission and discharge for hospital admissions. Expanded insurance benefit review for more complex and/or high dollar procedures. Performs financial counseling with patients; includes evaluating assistance programs the patient may qualify for, completing applications, determining need for delay/cancel of services and escalating as needed. May be assigned to work special projects and/or non-standard workflows. Supports Financial Clearance activities. Focuses and provide guidance on complex authorization, billing or patient situations. Provides technical and functional direction for staff. Other duties as assigned.

Required Qualifications

Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description 5+ years of experience with Insurance and Benefit Verification, Pre-experience with Registration and/or Prior Authorization activities in healthcare business office/insurance operations

Preferred Qualifications

High school diploma or GED Associate's 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 clinical documentation. Previous experience working with a patients clinical medical record

Physical Demands

Sedentary: Lifting weight up to 10 lbs. occasionally, negligible weight frequently

Pay Range

Pay Range: $26.07 to $35.72 per hour The pay described reflects the base hiring pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work. Allina Health is committed to adhering with all applicable local, state and federal minimum wage requirements.

Benefit Summary

Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That’s why we devote extraordinary resources to help you grow and thrive - not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being - mind, body, spirit and community - of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. We are focused on creating an inclusive workplace so everyone can see themselves as part of our care team. Our care teams are as diverse as the communities we serve and proud to be contributing to the mission of a leading health care organization. Our pioneering approach to well-being helps every member of our care team feel a deep sense of connection and joy in their work.

Benefits include

• Medical/Dental
• PTO/Time Away
• Retirement Savings Plans
• Life Insurance
• Short-term/Long-term Disability
• Voluntary Benefits (vision, legal, critical illness)
• Tuition Reimbursement or Continuing Medical Education as applicable
• Student Loan Support
• Benefits to navigate the Federal Public Service Loan Forgiveness Program

Allina Health is a 501(c)(3) eligible employer *Benefit eligibility/offerings are determined by FTE and if you are represented by a union.

People at Allina Health have a career of making a difference in the lives of the millions of patients we see each year at our 90+ clinics, 12 hospitals and through a wide variety of specialty care services in Minnesota and western Wisconsin. We’re a not-for-profit organization committed to enriching your career by providing ongoing training, competitive compensation, support for work-life balance and ways to give back to the communities we serve. Join our team of 27,000+ employees – your career opportunities are limitless!

Diversity creates a healthier atmosphere for our employees, patients, and community. Allina Health is proud to be an Equal Employment Opportunity employer, and will make employment decisions without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Allina Health is an E-Verify Employer Allina Health complies with federal requirements to verify the employment eligibility of all persons hired to work in the United States. Allina Health is an E-Verify employer. E-Verify is an Internet-based system that compares information from each new employee’s Form I-9 to records available from the Social Security Administration (SSA) and the Department of Homeland Security (DHS) to confirm work authorization. An E-Verify case must be created no later than the third business day after the employee starts work for pay. All Forms I-9 must be completed and received by the Office of Human Resources accordingly. For more information, link to: Right to Work Poster (e-verify.gov)