Role Description The Senior Revenue Cycle Rep is an experienced position within the Mayo Clinic enterprise Revenue Cycle team. This position will be responsible for ensuring accurate and appropriate actions to ensure payment integrity for Mayo Clinic services. - Deep understanding of revenue cycle and payer policies. - Ability to resolve complex issues. - Responsible for revenue cycle activities requiring insight into claim processes. - Comprehensive interpretation and understanding of payer contracts and industry standards. - Comfortable with ambiguity and exhibit good decision-making and judgment capabilities. - Attention to detail is essential. - Self-motivated, self-directed, and highly organized. - Ability to prioritize work and handle a variety of tasks simultaneously. - Belief in the mission and strong ethical conduct is essential. - Assertive communication with third-party payer representatives. - Effective communication and coordination with necessary internal areas. - Initiative to continuously learn within assigned job function. - Responsible for interpreting data, drawing conclusions, reviewing findings, and providing recommendations for improvements. - Maintain knowledge of applicable State, Federal, and local laws/regulations, correct billing and coding requirements. - Adherence to quality assurance guidelines and established productivity standards. - Consistently document within the patient accounting system all actions and encounters. - Participates in special projects and other duties as directed by the Supervisor. Benefits - Medical: Multiple plan options. - Dental: Delta Dental or reimbursement account for flexible coverage. - Vision: Affordable plan with national network. - Pre-Tax Savings: HSA and FSAs for eligible expenses. - Retirement: Competitive retirement package to secure your future. Company Description Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. - Continuing education and advancement opportunities available. - Employees are located at three major campuses: Phoenix/Scottsdale, Arizona; Jacksonville, Florida; Rochester, Minnesota; and Mayo Clinic Health System campuses throughout Midwestern communities. - Each Mayo Clinic location is a special place where employees thrive in both their work and personal lives. Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

Requisition Number: 2335978 Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Provide high-quality clinical services within scope of practice and infection control standards - Coordinate care with other members of the patient/client's care team from admission to discharge - Complete clinical nursing assessments per federal/state program requirements and payer needs - Ensure patient/client eligibility and medical necessity for services as defined by payer and agency policy - Develop and revise individualized plans of care/service plans with other community providers - Ensure plan of care frequency and duration meets patient needs and initiate revisions with physician approval 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 Qualifications: - Current and unrestricted RN licensure in the state of practice - Proven ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client - Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation Preferred Qualifications: - Proven ability to work independently - Proven good communication, writing, and organizational skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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 $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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.

• Codes and abstracts diagnoses, procedures, and patient information from Outpatient encounters • Verifies abstracted hospital information fields for accuracy and completeness • Prioritizes outpatient and inpatient coding and abstracting responsibilities • Communicates with physicians when documentation is unclear

Role Description The Central Intake Coordinator contacts insurance companies, branch operations, and patients to ensure accurate patient demographic and insurance information including insurance verification/benefits/authorizations, and the status of a used/remaining benefits. - Verifies eligibility and insurance benefits including but not limited to: - Confirming the status of used/remaining benefits using electronic and telephonic resources. - Communicating identified insurance plan to billing manager for system updates. - Obtains pre-certification, authorizations, and referrals to ensure managed care compliance for necessary services. - Fulfills notification requirements. - Partners and maintains working relationship with various departments throughout the organization, including Business HUB, Clinical Coordinators, and Branch Operations. - Provides patient education as needed on various topics including patient rights, regulatory requirements, and financial policies. - Prepares oral/written communications including periodic status updates. - Maintains documentation and notes in computer system regarding all conversations with patients, insurance company representatives, and pre-certification. - Supports BrightSpring Health’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, and other laws applicable to BrightSpring Health’s business practices. - Completes all required training, maintains active working knowledge of BrightSpring health’s Code of ethics (LEGACY), and immediately follows reporting procedures related to compliance, incidents, HIPAA, and adheres to confidentiality obligations. - Maintains effective communication strategies and style with patients and insurance companies both verbally and in writing to ensure a positive overall internal/external customer service experience. Qualifications - HR Diploma/GED required; Preferred Associates Degree or BS/BA from accredited college. - 2+ years of experience in a role that interfaces with commercial or government insurance payers to verify medical coverage or to perform billing, collections or follow up activities on covered charges for patients. - Medical billing certificate/ medical insurance specialty certificate preferred. - Strong analytical skills to process admissions accurately and timely. - Demonstrated ability to navigate Web Based programs and Microsoft Office/including Excel. - Demonstrated ability to communicate effectively and to simplify complex information to all stakeholders in verbal and written form. - Ability and willingness to work cohesively in a team environment locally and across other departments and locations. - Demonstrate patience with a strong attention to detail. - Demonstrated ability to apply critical thinking skills, creativity, and a commitment to ensure that we meet the needs of stakeholders and patients. - Minimal travel, rarely or as needed. Salary Range USD $21.00 - $24.00 / Hour