Insurance Investigator at UnitedHealth Group in Syracuse, New York

Insurance Investigator

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.

This position is full-time, Mon-Fri 8:30am to 5pm. It may be necessary, given the business need, to work occasional overtime. This is an on-site role at 1 Atwell Rd. Cooperstown, NY.

Primary Responsibilities:

• Insurance
  • Verification of insurance eligibility, benefits, and authorizations
  • Ensure appropriate insurance coverage is listed within a patient's account
• Financial Assistance & Enrollment
  • Point of contact for uninsured and underinsured patients
  • Collaborate with Patient Financial Services and various foundations for charity care
• Assist eligible patients with enrolling for coverage on the exchange portal Estimates and Collections
  • Work with patients to set up payment plans and loan programs
• Customer Service
  • Collect confidential and sensitive information in a respectful manner
  • Assist patients, departments and providers with eligibility, benefits and authorization questions and cost information
  • Remain knowledgeable with changing workflows
• Leadership
  • Navigate difficult conversations resourcefully and respectfully
  • Communicate protocols and complex terminology in a manner easy to understand
  • Motivate teammates to achieve goals set by department

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
• 1+ years of experience with Insurance benefit verification
• 1+ years of practical work experience in healthcare or finance
• Ability to work full-time, Mon-Fri 8:30am to 5pm
• Ability to work an on-site role at 1 Atwell Rd. Cooperstown, NY

Preferred Qualifications:

• 1 year of experience as an application counselor or navigator, or equivalent experience with New York State of Health
• Experience with Microsoft Office products
• Experience in a Hospital Patient Registration Department, Physician office or any medical setting
• Working knowledge of medical terminology
• Understanding of insurance policies and procedures
• Experience in insurance reimbursement and financial verification
• Ability to perform basic mathematics for financial payments
• Experience in requesting and processing financial payments

Soft Skills:

• Strong interpersonal, communication and customer service skills
• Highly organized and ability to shift with changing priorities

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). The hourly pay for this role will range from $18.00 to $32.00 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. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.