Job summary
Job post source
This job is directly from Optum, a UnitedHealth Group company.
Job overview
The Pre-Registration Clearance Representative role at Optum involves verifying insurance eligibility and benefits to ensure accurate patient account processing, contributing to improved health outcomes.
Responsibilities and impact
The representative will verify insurance coverage, obtain authorizations, complete medical necessity checks, calculate patient financial responsibility, ensure accurate documentation, and follow billing procedures to support timely reimbursement.
Compensation and benefits
The role offers an hourly pay range of $17.74 to $31.63 based on experience and location, with a comprehensive benefits package including incentives, equity stock purchase, and 401k contributions, subject to eligibility.
Experience and skills
Candidates need a high school diploma or GED, at least one year of experience in patient access and health insurance, and ability to work Arizona business hours; preferred skills include Microsoft Office, medical terminology knowledge, typing, communication, and basic math for financial transactions.
Career development
Optum provides clear direction for success and opportunities for development into other roles within the company.
Work environment and culture
Optum promotes an inclusive culture with talented peers, comprehensive benefits, and a commitment to health equity and environmental responsibility, supporting remote work within U.S. time zones.
Company information
Optum is a global health services organization under UnitedHealth Group focused on improving health outcomes through technology and care delivery.
Job location and travel
This is a remote position within the U.S. requiring work during Arizona business hours, Monday to Friday, 9am to 5pm AZ time.
Application process
Applicants must apply within the posting period which lasts at least two business days or until a sufficient candidate pool is reached; drug testing is required before employment.
Unique job features
The role offers telecommuting flexibility and involves working with advanced verification systems and processes to optimize patient access and billing accuracy.
Company overview
Optum is a leading health services and innovation company that operates as part of UnitedHealth Group. It provides a wide range of healthcare solutions, including data and analytics, pharmacy care services, and healthcare delivery and operations. Optum generates revenue through its diverse portfolio of services aimed at improving healthcare efficiency and outcomes. Key historical milestones include its formation in 2011 and subsequent growth through strategic acquisitions and partnerships, positioning it as a significant player in the healthcare industry.
How to land this job
Position your resume to highlight your experience with patient access, insurance verification, and knowledge of medical terminology, emphasizing your ability to accurately document insurance benefits and process authorizations.
Showcase your proficiency with electronic verification systems, attention to detail in data entry, and your strong communication and customer service skills, as these are key for the Pre-Registration Clearance Representative role.
Apply through multiple channels including Optum's official career site and LinkedIn to maximize your chances of being noticed and to tap into different recruiter pools.
Connect on LinkedIn with current employees in Optum's patient access or registration teams; start conversations by mentioning your interest in the role and asking about their experience with telecommuting or the challenges of insurance verification.
Optimize your resume for ATS by incorporating keywords from the job description such as 'insurance eligibility,' 'pre-certification,' 'medical necessity,' 'patient access,' and 'data accuracy' to ensure your resume passes automated screenings.
Use Jennie Johnson's Power Apply feature to automate applying across multiple platforms, tailor your resume to this specific job, and identify LinkedIn connections to network with, saving you time and increasing your application effectiveness.
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