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Per Diem Patient Care Coordinator - Financial Counselor (Marin Health) - Bay Area/San Francisco CA

Company: UnitedHealth Group
Location: Novato
Posted on: March 20, 2023

Job Description:

$2,000 Sign On Bonus For External Candidates

Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work. SM

The primary function of the Per Diem Patient Care Coordinator - Financial Counselor (Marin Health) is to ensure scheduled accounts/encounters are financially cleared prior to the date of service. This facility address is 250 Bon Air Rd Kentfield, CA 94904.

Primary Responsibilities:

  • Verifies insurance eligibility and obtains benefits on all scheduled patient accounts by using electronic verification systems or by contacting payers directly to determine the level of insurance coverage.
  • Document insurance benefit information such as, deductibles, co-payments, coinsurance, and policy limitations.
  • Secures or verifies authorization and pre-certification.
  • Completes medical necessity check for outpatient services when Medicare is the payer using the diagnosis and procedure codes provided on the physicians' order.
  • Completes the Advanced Beneficiary Notification (ABN) process if/when the code does not pass medical necessity.
  • Calculates patient's financial responsibility.
  • Review assigned accounts to ensure accuracy and required documentation is obtained and complete.
  • Follows appropriate processes and procedures to ensure accurate billing and timely processes.
  • Collects and enters required data into the system with emphasis on accuracy of demographic and financial information in order to ensure appropriate reimbursement.
  • Other duties as needed and assigned by their Manager, Director and or Senior Director.
    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)
    • 1+ years' experience working with healthcare insurance/payers
    • 1+ years experience in Customer Service or related call center environment.
    • Able to perform basic mathematics for payment calculation.
    • All new hires will be required to successfully complete the Patient Access training classes and demonstrate proficiency of the material.
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.
      Preferred Qualifications:
      • Bachelor's Degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field
      • 2+ years' experience in a hospital patient registration department, physician office. setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle-related role.
      • Thorough understanding of insurance benefits.
      • Basic knowledge of ICD-9 (10) and CPT terminology.
      • Comprehensive understanding of medical terminology.
      • Thorough understanding of insurance policies and procedures.
      • Working knowledge of medical terminology.
      • Experience in requesting and processing financial payments.
      • Knowledge of charity care programs as well as the various government and non-government programs.
        Soft Skills:
        • Ability to think and act; decisiveness, assertiveness, with ability to achieve results quickly.
        • Ability to learn, understands, and applies new technologies, methods, and processes.
        • Ability to be a self-starter and work independently and as a team to achieve a common goal.
        • High sense of responsibility and accountability; Takes ownership and initiative.
        • Results-oriented with an eye toward the end-goal and business results as the objective.
        • Adaptable and flexible, with the ability to handle ambiguity and sometimes changing priorities.
        • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Optum360 and our client organization(s).
        • Professional demeanor and positive attitude; customer service orientation.
        • Proficient computer skills.
        • Proficient data entry and typing skills.
        • Basic verbal skills required to take direction from leadership and collaborate with co-workers to perform job function.
          To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies required all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

          Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work. SM

          California Residents Only: The salary range for California residents is $16.00 - $31.44. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

          PLEASE NOTE The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

          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.

Keywords: UnitedHealth Group, Novato , Per Diem Patient Care Coordinator - Financial Counselor (Marin Health) - Bay Area/San Francisco CA, Healthcare , Novato, California

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