Financial Counselor

UnitedHealth Group

Posted 2 months ago

Full Time

Phoenix, Arizona

In Person

Smart Summary

Responsibilities

The Financial Counselor serves as the primary point of contact for patients, ensuring accurate registration, insurance verification, and demographic data entry. They are responsible for assessing patient financial liabilities, collecting payments, and maintaining compliance with regulatory and billing requirements.

Qualifications

You have a high school diploma/GED and at least one year of experience in customer service and collections or insurance-related work. You are proficient with computers and data entry, and possess excellent interpersonal, communication, and customer service skills to effectively assist patients.

Must Have Skills for ATS

ADT system

CMS billing requirements

MSP

Mede/Analytics PAI tool

insurance verification

payer requirements

medical necessity

ABN

Job Description

$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.   

As a Financial Counselor, we are often the first point of contact for our patients and their families. As such we value representing an important first impression. Our professionalism, expertise and dedication help ensure that our patients receive the quality of care they need. We are diligent in obtaining complete and accurate insurance and demographic information in a timely manner, this enables us to provide high quality, compassionate health care service to all who need them, regardless of their ability to pay.

Location: 350 W Thomas Road, Phoenix, AZ 85013

Primary Responsibilities:

  • Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units
  • Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration
  • Properly identifies the patient to ensure medical record numbers are not duplicated
  • Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete
  • Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital’s information system for regulatory compliance and audit purposes
  • Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information to ensure appropriate reimbursement
  • Carefully reviews all information entered in ADT on pre-registered accounts
  • Verifies all information with patient at time of registration; corrects any errors identified
  • Identify all forms requiring patient/guarantor signature and obtain signatures
  • Ensures all required documents are scanned into the appropriate system(s)
  • Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)
  • Follows “downtime” procedures by manually entering patient information; identifying patient’s MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is live
  • Assesses self-pay patients for presumptive eligibility and when appropriate initiates the process
  • Monitors and addresses tasks associated with the Mede/Analytics PAI tool
  • Follows approved scripting, verify insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directly to determine the level of insurance coverage
  • Thoroughly and accurately documents insurance verification information in the ADT system, identifying deductibles, copayments, coinsurance, and policy limitations
  • Obtains referral, authorization and pre-certification information; documents this information in the ADT system and submit notices of admission when necessary
  • Verifies medical necessity checks have been completed for outpatient services.  If not completed and only when appropriate, uses technology tool to complete medical necessity check and/or notifies patient that an ABN will need to be signed
  • Identifies payer requirements for medical necessity
  • Verifies patient liabilities with payers, calculates patient’s payment, and requests payment at the time of registration
  • Identifies any outstanding balance due to previous visits, notifies patient and requests patient payment
  • Sets up payment plans for patients who cannot pay their entire current copayment and/or past balance in one payment
  • Thoroughly and accurately documents the conversation with the patient regarding financial liabilities and agreement to pay
  • When collecting patient payments, follows department policy and procedure regarding applying payment to the patient’s account and providing a receipt for payment
  • Clarifies division of financial responsibility if payment for services is split between a medical group and an insurance company.  Ensure this information is clearly documented in the ADT system
  • When necessary, escalate accounts to appropriate Patient Registration leadership staff, based on outcomes of the verification process and patient’s ability to pay

What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 of customer service experience
  • 1+ years of collections or insurance-related experience
  • Beginner level of proficiency working with computers/data entry 

Preferred Qualifications:

  • 1+ 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 leadership experience 
  • General understanding of insurance policies and procedures
  • Working knowledge of medical terminology
  • Ability to perform basic mathematics for payment calculation

Soft Skills:

  • Excellent interpersonal, communication and customer service skills

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

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.

#RPO #RED

UnitedHealth Group

UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone. We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences. Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care. We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care. At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities. Click below to search careers or join our social communities: • Search & apply for careers at careers.unitedhealthgroup.com/ • Follow us on Twitter at twitter.com/UnitedHealthGrp • Follow and like us on Facebook at facebook.com/unitedhealthgroup • Follow us on Instagram at instagram.com/unitedhealthgroup More about UnitedHealth Group can be found at unitedhealthgroup.com/
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