Insurance Verification Specialist - Remote in Owensboro, KY

Company: UnitedHealth Group
Location: Owensboro
Posted on: May 26, 2023

Job Description:

If you are located within a commutable distance to Owensboro, KY, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

Opportunities at Owensboro Health, - in strategic partnership with - Optum . Our team of talented people works to improve the health outcomes of the communities we serve. As an Optum employee, you will provide support to the Owensboro health account. They are a nonprofit system with over 200 providers at more than 20 locations, 3 outpatient facilities, a certified medical fitness facility, a surgical weight loss center and the Mitchell Memorial Cancer Center. We are continually searching for people like you to help us provide the most innovative health care services. Join a team that will make you feel valued and discover the meaning behind: - Caring. Connecting. Growing together.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work our normal business hours of 8:00am - 4:30pm CST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 2200 E. Parish Ave, Owensboro, KY 42303.

We offer 4-6 weeks of onsite training.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

Verifies coverage and eligibility in real-time for multiple departments throughout the organization.

Verifies insurance coverage presented by the patients.

Complete tasks that fall to the patient, claim edits, and account work queues.

Communicates effectively with the community, professionals, insurance companies, and external agencies.

Supports Case Management Staff for current patient issues.

Communicates closely with financial advocates to resolve issues that require patient input.

Resolves issues related to eligibility and coverage identified by billing staff to ensure claim payments.

Participates in maintaining the payer database in EPIC.

Supplies educators with examples of coverage discrepancies used to assist in the continued training of Access staff.

Problem solves and troubleshoots system errors and reporting issues and/or routes to system administrators.

Assists with special projects and duties as assigned.

Performs all functions related to registration/admitting via computer.

The pace is fast, so your ability to multi-task is essential. You should also enjoy working with people and have the communication skills necessary to build strong relationships with our customers.

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 Qualification:

High school diploma / GED (or higher)

Ability to work 8:00am - 4:30pm CST. It may be necessary, given the business need, to work occasional overtime.

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:

1+ years of related work experience, including data entry

Working knowledge of medical office procedures and medical terminology

ICD 9 or 10 and CPT coding experience

Telecommuting Requirements:

Reside within Owensboro, KY

Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Ability to keep all company sensitive documents secure (if applicable)

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

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.

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.

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.

#RPO #YELLOW

Keywords: UnitedHealth Group, Owensboro , Insurance Verification Specialist - Remote in Owensboro, KY, Other , Owensboro, Kentucky