Financial Clearance Representative Associate - Remote near Minneapolis, MN
UnitedHealth Group
- Minneapolis, MN
- Permanent
- Full-time
- Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre-registration of patients
- 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
- 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
- 6+ months experience with Insurance and Benefit Verification, Pre-experience with Registration and/or Prior Authorization activities in healthcare business office/insurance operations
- Intermediate level of proficiency with Microsoft Office Products
- Must be 18 years or older
- Associate degree or Vocational degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study
- Experience working with clinical staff
- Previous experience working in outpatient and/or inpatient healthcare settings
- Experience working clinical documentation
- Previous experience working with a patients clinical medical record
- Excellent customer service skills
- Excellent written and verbal communication skills
- Demonstrated ability to work in fast paced environments