Insurance Investigator

Job description

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.    

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:

The Insurance Investigator  is responsible for assisting patients with navigating their insurance benefits, cost of service and financial assistance needs. Individuals in this role serve as a liaison between medical staff, patient financial services, insurance payers, patients, family members and other team members to ensure excellent patient care. This includes, but is not limited to the information outlined below:  

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). 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 $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. 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, #RED

Worksite address

syracuse, NY, 13220, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.