UnitedHealth Group

Financial Clearance Representative Associate - Remote in MN or WI


PayCompetitive
LocationMinneapolis/Minnesota
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 2216587

      $1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

      Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

      The Financial Clearance Representative Associate is responsible for completing the financial clearance process and creating the first impression of Optum services to patients, their families, and other external customers. You will articulate information in a manner that patients, guarantors, and family members understand and will know what to expect regarding their financial responsibilities. Work in a team environment with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial services.

      Primary Responsibilities:

      • 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
      • Performs manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources in order to accurately bill medical provider professional fees
      • Resolve accounts resulting from inadequate claim field data, incorrect data in fields, or non-populated required data fields that prohibit accurate and timely claim submission
      • 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
      • Meet and maintain department productivity and quality expectations

      You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

      Required Qualifications:

      • 6+ months of previous customer service experience in an office setting or professional work environment
      • Intermediate level of proficiency with Microsoft Office Products
      • Must be 18 years or older

      Preferred Qualifications:

      • Experience with insurance and benefit verification, Pre-Registration and/or Prior Authorization activities in healthcare business/office setting
      • Associate or Vocational degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study
      • Experience working with clinical staff
      • Experience working with clinical documentation
      • Experience working with a patients clinical medical record

      Soft Skills:

      • Excellent customer service skills
      • Excellent written and verbal communication skills
      • Demonstrated ability to work in fast paced environments

      **PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

      At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

      Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment 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.

      UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.


      #RPO #YELLOW

  • About the company

      UnitedHealth Group Incorporated is an American multinational managed healthcare and insurance company based in Minnetonka, Minnesota.