Patient Financial Counselor - Glendale, CA

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.

This position is full-time (40 hours/week) Friday - Monday 7:00AM - 5:30PM. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1420 South Central, Glendale, CA.

Primary Responsibilities:

• Maintain up-to-date knowledge of specific admission, registration, and pre- registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity and Rehabilitation Units
• Verify insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage
• Provides financial clearance services to self-pay patients prior to discharge or within 24 business hours
• Provides on-site customer service assistance for walk-in patients with billing-related questions
• Provides information to hospital personnel who are seeking answers to financial concerns on their patient's behalf
• When needed, works closely with Case Management/Utilization Review in ensuring services are appropriate for level of care provided (inpatient vs. outpatient and vice versa)
• Acts as resource to other hospital departments regarding insurance benefits and requirements and collaborates with other departments, as needed, to ensure proper compliance with third party payer requirements
• When appropriate, ensures the payer receives a Notice of Admission on all admissions, scheduled and non-scheduled, within 24 hours or the next business day
• Follow up on missing authorizations. If authorization is not obtained within 48 hours prior to service, contact patients to advise them of their financial responsibility
• Thoroughly and accurately documents insurance verification and authorization information, identifying outstanding deductibles, copayments, coinsurance, and policy limitations, and advises patient and collects amount due at or before the time of service

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 (or higher)
• 2+ years of experience working in a hospital Patient Registration Department, physician office setting, healthcare insurance company, revenue cycle vendor and/or other revenue cycle related role
• 1+ years of experience in customer service preferably in a healthcare environment
• 1+ years of experience working with insurance policies/procedures (Private, Commercial, Medicare & Medicaid)
• Ability to work Friday - Monday 7:00AM - 5:30PM

Preferred Qualifications:

• Experience in requesting and processing financial payment
• Knowledge of charity care programs as well as various government and non-government payment assistance programs
• Working knowledge of facility pricing structure and cost estimates
• Basic knowledge of ICD - 9 (10) and CPT terminology
• Working knowledge of medical terminology
• Ability to perform basic mathematics for payment calculation

The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

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