Financial Clearance Representative Associate

UnitedHealth Group•Minneapolis, MN

2d•$16 - $29•Remote

About The Position

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 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. 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. You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

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

Nice To Haves

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

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
Performs 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 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
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