Experienced Financial Clearance Representative Associate - Remote Nationwide Opportunity in Healthcare Revenue Cycle Management

Introduction to Optum and Our Mission

At Optum, in strategic partnership with Allina Health, we are dedicated to improving health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Our culture is guided by diversity and inclusion, and we pride ourselves on having talented peers, comprehensive benefits, and career development opportunities. As a Financial Clearance Representative Associate, you will play a vital role in making an impact on the communities we serve, helping us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Job Overview

The Financial Clearance Representative position 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. As a key member of our team, you will 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

• 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
• Perform manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources to accurately bill medical provider professional fees
• Educate patients of pertinent policies as necessary, such as Patient Rights, HIPAA information, consents for treatment, visiting hours, etc.
• Verify insurance eligibility and complete automated insurance eligibility verification, when applicable, and appropriately document 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
• 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

Required Qualifications

To be successful in this role, you will need:

• High School Diploma/GED (or higher)
• 6+ months of billing experience within a hospital or clinic setting
• Intermediate level of proficiency with Microsoft Office products
• Ability to work standard daytime hours, CST
• Must be 18 years of age or older

Preferred Qualifications

While not required, the following qualifications are preferred:

• Associate or Vocational degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study
• EPIC experience
• Experience working with clinical staff
• Previous experience working in outpatient and/or inpatient healthcare settings
• Experience working with clinical documentation
• Experience working with a patient’s clinical medical record

Soft Skills

In addition to the technical skills, you will need:

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

What We Offer

At UnitedHealth Group, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements). The salary range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors, including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable.

Work Environment and Company Culture

As a remote nationwide opportunity, you will enjoy the flexibility to telecommute from anywhere within the U.S. Our company culture is built on diversity and inclusion, and we are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes. We believe everyone – of every race, gender, sexuality, age, location, and income – deserves the opportunity to live their healthiest life.

Career Growth Opportunities and Learning Benefits

At UnitedHealth Group, we are committed to helping you grow and develop in your career. You will have access to training and development programs, mentorship opportunities, and a clear path for advancement. We believe in recognizing and rewarding our employees for their performance and contributions to the company.

Conclusion

If you are a motivated and compassionate individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. As a Financial Clearance Representative Associate, you will play a vital role in our team and contribute to the success of our organization. Don’t miss out on this chance to join a dynamic and growing company that is dedicated to improving the health and well-being of individuals and communities. Apply today and start your journey with us!

Equal Employment Opportunity

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

Drug-Free Workplace

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

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