Financial Clearance Representative Associate - Remote

UnitedHealth Group

Full-Time
Closes on Friday, May 31, 2024

Job Description

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

Full-Time sympOne_f1fa8a0b54af2ce9a3d99f2b3cb40318 UnitedHealth Group
Financial Clearance Representative Associate - Remote - 128112