Financial Clearance Representative Associate - Remote Nationwide

Join Optum, in strategic partnership with Allina Health, and be part of a team that is dedicated to improving health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. As a Financial Clearance Representative Associate, you will play a vital role in creating a positive first impression of Optum services for patients, their families, and external customers. You will work in a collaborative team environment with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial services.

In this role, you will enjoy the flexibility to telecommute from anywhere within the U.S. and take on challenging tasks such as resolving accounts, performing manual charge entry, educating patients on pertinent policies, verifying insurance eligibility, and providing proactive price estimates. You will also have the opportunity to mentor less experienced team members and contribute to the development of the revenue cycle.

Your primary responsibilities will include:

• Resolving accounts resulting from inadequate claim field data, incorrect data in fields, or non-populated required data fields that prohibit accurate and timely claim submission
• Performing manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources to accurately bill medical provider professional fees
• Educating patients on pertinent policies, such as Patient Rights, HIPAA information, consents for treatment, visiting hours, etc.
• Verifying insurance eligibility and completing automated insurance eligibility verification, when applicable, and documenting information in Epic
• Confirming that a patient's health insurance(s) is active and covers the patient's procedure
• Providing proactive price estimates and working with patients to understand their financial responsibilities
• Informing families with inadequate insurance coverage of financial assistance through government and financial assistance programs and referring the patient to financial counseling
• Mentoring less experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role
• Meeting and maintaining department productivity and quality expectations

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 include:

• 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 required:

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

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 local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).

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. 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.

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.

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

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