Financial Clearance Representative Associate

1 month ago

Delano, California, United States Optum Full time
Financial Clearance Representative Associate

At Optum, we're dedicated to improving health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. As a Financial Clearance Representative Associate, you'll play a critical role in this mission by completing the financial clearance process and creating a positive first impression of Optum services to patients, their families, and external customers.

Key Responsibilities:

• Review and analyze patient visit information to determine whether authorization is needed and understand payor-specific criteria to secure authorization and clear the account prior to service where possible

• Ensure timely initial and subsequent authorizations

• Provide mentoring to less experienced team members on revenue cycle, payer issues, policy issues, or other topics impacting their role

• Meet and maintain department productivity and quality expectations

Requirements:

• High School Diploma / GED (or higher)

• 6+ months of experience with Prior Authorization activities in healthcare business office/insurance operations

• Intermediate level of proficiency with Microsoft Office products

• Ability to work 8:00am – 4:30pm, Monday-Friday

Preferred Qualifications:

• EPIC experience

• Experience with insurance and benefit verification, Pre-Registration, and/or Prior Authorization activities in healthcare business/office settings

• Associate or Vocational degree in Business Administration, Health Care Administration, Public Health, or related field of study

• Experience working with clinical staff, clinical documentation, and patient medical records

• Soft Skills: Excellent customer service, written and verbal communication, and ability to work in fast-paced environments

At Optum, we believe everyone deserves the opportunity to live their healthiest life. We're committed to mitigating our impact on the environment and enabling equitable care that addresses health disparities and improves health outcomes. Join us in our mission to make a difference in the lives of others.

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.

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