[Hiring] Financial Clearance Representative Intermediate @UnitedHealth Group

Role Description

This 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. 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.

Primary Responsibilities:

• 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.
• 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.

Qualifications

• 6+ months of experience with Prior Authorization activities in healthcare business office/insurance operations.
• 6+ months of experience as a Financial Clearance Representative Associate.
• Intermediate level of proficiency with Microsoft Office products.
• Must be 18 years of age OR older.

Requirements

• High School Diploma/GED.
• Associate or Vocational degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study.
• EPIC experience.
• Experience with insurance and benefit verification, Pre-Registration and/or Prior Authorization activities in healthcare business/office setting.
• Experience working with clinical staff.
• Experience working with clinical documentation.
• Experience working with a patient’s clinical medical record.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).

The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment.

Company Description

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.
• UnitedHealth Group is an Equal Employment Opportunity employer under applicable law.
• UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.