Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. 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.
The Financial Counselor is responsible for performing financial clearance functions, including but not limited to, verifying insurance eligibility and benefits; ensuring authorizations on file are accurate; and providing price estimates and waivers to scheduled patients. This position works closely with office and billing staff to ensure all patients are financially cleared and screened for financial risk before receiving service.
This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30am - 4:00pm EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 18077 River Avenue, Noblesville, IN 46062.
We offer weeks of paid training. The hours during training will be 7:30am to 4:00pm, Monday - Friday EST.
If you are located in Noblesville, IN , you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Uses key indicators of financial risk established by American Health Network, Part of Optum to screen accounts and identify patients that may have trouble making payments (e.g., uninsured, underinsured, etc.) Verifies insurance eligibility and benefits prior to service for patients with scheduled services (e.g., surgery, imaging, office visits) Prepares prices estimates for scheduled patients when required Communicates patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or co-payments and how they may affect the cost of care Explains how non-covered and out-of-network services factor into the out-of-pocket cost Follows department policies and procedures and meets performance goals set by leadership team Focuses on quality and accuracy of estimates and accounts worked to contribute to individual and department goals Attends meetings and participates on committees as requested. Reviews current literature and attends training sessions and seminars to keep informed of new developments in the field. Performs other related duties and responsibilities as directed. Complies with all company policies and procedures regarding HIPAA and handling of PHI Act as a resource for others Applies knowledge/skills to a range of moderately complex activities Proactively identifies solutions to non-standard requests Solves moderately complex problems on own Works with team to solve complex problems Plans, prioritizes, organizes, and completes work to meet established objectives May coordinate work of other team members
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:
High School Diploma/GED Must be 18 years of age or older 1+ years of experience with medical insurance 1+ years of experience preparing reports and routine business correspondence 1+ years of EHR/EMR (Electronic Medical Records) experience Intermediate level of proficiency with computer skills, including working knowledge of Microsoft Office Suite, e-mail systems, and web-based program Ability to work full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30am - 4:00pm EST. It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications:
Previously working in a billing department ICD – 10 and CPT codes experience
Telecommuting Requirements:
Reside within commutable distance to Noblesville, IN Ability to keep all company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:
Ability to interact and communicate with a variety of people, both on a one-on-one basis and in meetings and group presentations; must be able to relate to and work with ill, emotionally upset, and sometimes hostile people Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimal Ability to follow direction Ability to think logically to troubleshoot, analyze situations, and make appropriate decisions Ability to handle multiple tasks simultaneously Ability to complete work without established procedures Ability to work independently Demonstrates great depth of knowledge/skills in own function
*All employees working remotely 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.
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