Financial Clearance Representative Associate

UnitedHealth Group•Minneapolis, MN

8h•Remote

About The Position

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 with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial services. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

High School Diploma/GED
6+ months of experience with Physical/Occupational/Speech Therapy prior authorizations in healthcare setting
Intermediate level of proficiency with Microsoft Office products
Ability to work within Central Time zone standard daytime hours
Must be 18 years of age OR older
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Nice To Haves

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

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