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Job Details
$750 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. Job Summary: 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. If you reside in Wisconsin or Minnesota, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Primary 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 in order 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
- 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
- Perform notification of inpatient admissions to payers
- 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
- Must be 18 years or older
- 6+ months of customer service experience in an office setting or professional work environment
- Intermediate level of proficiency with Microsoft Office products
- Experience with insurance and benefit verification, Pre-Registration, Prior Authorization, and/or inpatient notification activities in healthcare business/office setting
- Associate or Vocational degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study
- Experience working with clinical staff
- Experience working with clinical documentation
- Experience working with a patients’ clinical medical record
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more