Clearance Representative

3 weeks ago

ELK RIVER, United States Optum Full time

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: The Financial Clearance Representative in the Inpatient Hospital Notification team 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.


If you reside near Minneapolis, MN, you will enjoy the flexibility to telecommute* as you take on some tough challenges. 


Primary Responsibilities:



  • 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
  • Meet and maintain department productivity and quality expectations 
  • Review and analyze denied claims and determine appropriate appeal requirements

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications



  • 6+ months of 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

Preferred Qualifications



  • 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

Soft Skills: 



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

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


 



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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.


 


 


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.


 


UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.


 


 


#RPO #RED

  • Clearance Representative

    3 weeks ago

    Elk River, United States A2ZgTi5kpP2t8i Full time

    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...

  • Financial Clearance Services Coordinator

    4 days ago

    Elk River, Idaho, United States Optum Full time

    About UsOptum is a leading health services company that helps people live healthier lives. Our mission is to make the health system work better for everyone.We believe that everyone deserves access to quality healthcare, regardless of their background or socioeconomic status. That's why we're committed to reducing health disparities and improving health...

  • Franchise Owner Representative

    3 weeks ago

    Fall River, Massachusetts, United States Mattress Clearance Centers Full time

    Opportunity HighlightsThis is an excellent opportunity for a Franchise Owner Representative to join Mattress Clearance Centers and take ownership of their business. You will be responsible for managing all aspects of the business, including sales, marketing, and customer service.We are looking for a driven and ambitious individual with a passion for...

  • Engineer System Safety II/III

    3 days ago

    Elk River, United States Northrop Grumman Full time

    Requisition ID: R10181486Category: Environmental, Health & SafetyLocation: Elk River, Minnesota, United States of AmericaClearance Type: SecretTelecommute: No- Teleworking not available for this positionShift: 1st Shift (United States of America)Travel Required: Yes, 25% of the TimePositions Available: 1At Northrop Grumman, our employees have incredible...

  • Senior Systems Engineer

    3 days ago

    Patuxent River, United States SAIC Full time

    DescriptionSAIC is looking for a temporary Systems Engineer in PMA 290, Maritime Patrol and Reconnaissance Aircraft Program Office, directly supporting the Joint Program Office (JPO) for the Royal Australian Air Force (RAAF).*Note- this is a temporary role expected to end April of 2025. This will be a hybrid role at the Patuxent River Naval Air Station,...

  • Radar Systems Engineer

    4 weeks ago

    Patuxent River, United States V2X Full time

    OverviewWorking across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients,...

  • Program Analyst

    4 months ago

    Patuxent River, United States V2X Full time

    OverviewAt Vectrus Systems Corporation, a subsidiary of V2X ("company"), we are making a difference by providing support to programs in the Effects Deployment Office (FXDO) of Precision Strike Weapons Program Office, PMA-201. This office is responsible for research, development, acquisition and sustainment of the Navy's air-to-ground precision guided...

  • Radar Systems Engineer

    4 days ago

    Patuxent River, United States V2X Full time

    Overview Working across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients,...

  • Maintenance Material Support

    4 months ago

    Patuxent River, United States Amentum Full time

    Maintenance Material Support performs limited aspects of technical supply management work (e.g., inventory management, storage management, cataloging, property utilization) related to depot, local or other supply activities. Work usually is segregated by commodity area or function, and controlled in terms of difficulty, complexity or responsibility....

  • Flight Test Discipline Engineer

    1 week ago

    Patuxent River, United States Lockheed Martin Full time

    Description:We are Lockheed MartinThis position is for an F-35 Mission Systems Flight Test Discipline Engineer providing support for flight test planning and execution and will be part of a fast paced, dynamic environment. The MS Flight Test Discipline Engineer will be tasked across the full flight test life cycle for systems such as RADAR, Electronic...

  • E-2D Field Technician 4

    1 week ago

    Patuxent River, United States Northrop Grumman Full time

    Requisition ID: R10156203Category: Technical SupportLocation: Patuxent River, Maryland, United States of AmericaClearance Type: SecretTelecommute: No- Teleworking not available for this positionShift: Any (United States of America)Travel Required: Yes, 10% of the TimePositions Available: 1At Northrop Grumman, our employees have incredible opportunities to...

  • AUV Field Service Representative Expertise Wanted

    1 day ago

    Fall River, Massachusetts, United States L3Harris Full time

    Join L3Harris AUV Systems as a highly skilled AUV Field Service Representative. In this critical role, you will ensure the successful deployment and operation of our cutting-edge Autonomous Underwater Vehicles (AUVs) across various sectors.Responsibilities:Plan, execute, and validate complex AUV missionsMaintain and develop AUV product documentation and...

  • Engineer System Safety II/III

    5 days ago

    Elk River, United States Northrop Grumman Full time

    Requisition ID: R10181486 Category: Environmental, Health & Safety Location: Elk River, Minnesota, United States of America Clearance Type: Secret Telecommute: No- Teleworking not available for this position Shift: 1st Shift (United States of America) Travel Required: Yes, 25% of the Time Positions Available: 1 At Northrop Grumman, our...

  • Acquisition Program Analyst

    3 weeks ago

    Patuxent River, United States V2X Inc Full time

    OverviewAbout UsWorking across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our...

  • Acquisition Program Analyst

    2 weeks ago

    Patuxent River, United States V2X Inc Full time

    OverviewAbout UsWorking across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our...

  • E-2 Test Weapon System Operator

    2 days ago

    Patuxent River, United States KBR Full time

    Title:E-2 Test Weapon System Operator (Aircrew)KBR is proactively seeking an E-2C/D Test Weapon System Operator (Aircrew) to join our team. As part of the world’s largest independent flight test organization supporting the US Government and commercial agencies, you will join a highly talented and experienced KBR aircrew services team that has provided over...

  • Construction Manager

    3 days ago

    Patuxent River, United States Chenega MIOS SBU Full time

    Req ID: 32037SummaryConstruction ManagerPatuxent River, MDAre you ready to enhance your skills and build your career in a rapidly evolving business climate? Are you looking for a career where professional development is embedded in your employer’s core culture? If so, Chenega Military, Intelligence & Operations Support (MIOS) could be the place for you!...

  • Senior Systems Engineer

    1 week ago

    Patuxent River, United States SAIC Full time

    Description SAIC is looking for a temporary Systems Engineer in PMA 290, Maritime Patrol and Reconnaissance Aircraft Program Office, directly supporting the Joint Program Office (JPO) for the Royal Australian Air Force (RAAF).*Note- this is a temporary role expected to end April of 2025. This will be a hybrid role at the Patuxent River Naval Air Station,...

  • Electrical Engineer

    5 days ago

    Patuxent River, United States SAIC Full time

    Description SAIC is looking an Electrical Engineer to support the US Navy in Patuxent River, MD . JOB DESCRIPTION: Provide Electrical Engineering and integration support for the NAVAIR V-22 Joint Program Office (PMA-275). The V-22 Joint Program Office (PMA-275) is responsible for the cradle-to-grave acquisition, sustainment, development and production of the...

  • Distinguished Technical Specialist

    4 days ago

    Patuxent River Estates, Maryland, United States SAIC Full time

    Job Overview:The Maritime Patrol and Reconnaissance Aircraft Program Office (PMA 290) within the Naval Air Systems Command (NAVAIR) seeks a technical specialist to support the Joint Program Office (JPO) for the Royal Australian Air Force (RAAF).This hybrid role is located at the Patuxent River Naval Air Station, with duties completed both at home and on base...