Brianna Carlin

About Brianna Carlin

Dedicated and result-oriented healthcare team member with a B.A.S. in Health Services Management with hands-on experience in financial clearance, provider coordination, and other front and back of house healthcare positions. Skilled in patient communications, insurance verification, operational efficiency, and team mentorship. Passionate about improving healthcare systems for the better.

Experience

1. Financial Clearance Representative - Associate

   Optum

   May 2024 — Present

   Provide support to the Allina Health account• 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, 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 work with patients so they understand their financial responsibilities• Inform families with inadequate insurance coverage of financial assistance through government and financial assistance programs and refer the patient to financial counseling• 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• Provide mentoring to less experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role

Education

• Northcentral Technical College

  General Education

• University of Minnesota College of Continuing & Professional Studies

  Bachelor of Applied Science - BASc, Health Services Management

• Lakeland Union Highschool

  High School Diploma

• Nicolet College

  Nursing Assistant