Associate Patient Service Specialist

NHSHP; Worcester (MA); Hybrid; USD 22,000 - 39,000; Full time

Benefits offered by this job

Medical Plan options

Dental Insurance

Vision Insurance

Life & AD&D Insurance

Short-term Disability

Long-Term Disability

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Paid Time Off

8 Paid Holidays

Job summary

Optum in Worcester, MA is seeking an Associate Patient Service Specialist to support patient insurance verification, scheduling, and data entry. The role emphasizes accurate information capture, customer service, and collaboration with care teams.

Responsibilities include managing insurance eligibility, collecting co-pays, and coordinating patient visits while adhering to Lean processes. Remote work possible within commutable distance; full-time hours apply.

Qualifications

• High School Diploma/GED (or higher).
• 1+ years of customer service in a clinical setting.
• 1+ years of Electronic Medical Record (EMR) experience.
• Must live within commutable distance to Worcester, MA area.
• Must be 18 years of age or older.
• Ability to work full time (40 hours/week), Mon-Fri during 8:00 AM–5:00 PM; overtime possible.
• Preferred: EPIC experience; basic MS Office proficiency.

Responsibilities

• Verifies, re-verifies and authorizes patient insurance coverage and eligibility using the registration/scheduling system.
• Verifies and updates patient demographics and insurance information.
• Notifies and collects patient co-pays and outstanding balances.
• Handles patient-care calls via an incoming work queue and adheres to department metrics.
• Communicates scheduling changes to patients and providers.
• Schedules patient visits and procedures for inpatients and outpatients; informs patients of details.
• Supports training and maintains schedules; performs other duties as assigned.

Skills

Customer service

Strong communication

Time management

Education

High School Diploma/GED

Tools

EMR (Electronic Medical Records)

EPIC

Microsoft Office

Job description

REMOTE IN WORCESTER, MA

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.

Neurology / Nephrology has an immediate opening for a friendly, patient focused and detailed oriented Associate Patient Service Specialist to join our team. The Associate Patient Service Specialist is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals.

Schedule:

This position is full-time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work on any of our 8-hour shift schedules during our normal business hours of 8:00 AM and 5:00 PM. It may be necessary, given the business need, to work occasional overtime.

This role will provide on the job training and the hours for training will be normal business hours, Monday - Friday. This position is Remote in Worcester, MA.

If you are located within a commutable distance to a Reliant office that is nearest to you in MA or surrounding locations, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Verifies, re-verifies and authorizes patient insurance coverage and eligibility utilizing computer-based patient registration/scheduling system
• Verifies and updates demographic, insurance and other patient information
• Confirms, collects, and posts patient co-payments and other outstanding balances
• Addresses patient-care related telephone calls via an incoming work queue aligning with department metric
• Identifies problem related priorities, and responds to emergency needs by contacting/interrupting physician/provider within guidelines
• Provides patient education regarding managed care plans and referral process
• Completes and maintains patient schedules. Schedules and coordinates patient visits, medical procedures for both inpatients and outpatients. Communicate with patients regarding all information related to scheduled appointments
• Notifies providers, patients and others of changes such as new scheduling, re-scheduling, no-show, emergency appointments and add-ons
• Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

More information can be downloaded at: http://uhg.hr/uhgbenefits

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 (or higher)
• 1+ years of customer service experience in a clinical setting
• 1+ years of Electronic Medical Record (EMR) experience
• Ability to work full time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 AM and 5:00 PM. It may be necessary, given the business need, to work occasional overtime
• Must live within a commutable distance to a Reliant location nearest to you in the Worcester, MA area or surrounding areas
• Must be 18 years of age OR older

Preferred Qualifications:

• Beginner level of proficiency with software applications such as Microsoft Teams, Word, Excel, Outlook, etc
• Previous call center experience
• EPIC experience

Telecommuting Requirements:

• Reside within commutable distance to the nearest Reliant location to you
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Ability to work independently and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

*All Telecommuters 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 $16.15 to $28.80 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.

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.