Financial Clearance Representative Intermediate

UnitedHealth Group • Minneapolis, MN

11h • Remote

About The Position

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.

Requirements

• 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

Nice To Haves

• 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
• 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

Benefits

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees