Patient Access Representative

Optum; Town of Delhi (NY); On-site; USD 22,000 - 40,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Optum is seeking a Patient Access Representative at O'Connor Hospital in Delhi, NY. You will greet patients, collect demographics and insurance information, and ensure proper billing and reimbursement for the hospital.

You will verify coverage, obtain signatures, and support scheduling of services. The role includes a 4–6 week training period and a rotating 7:00am–7:00pm schedule.

Qualifications

• High School Diploma/GED
• 1+ years of customer service experience
• Ability to work onsite at our Cobleskill, NY facility
• Ability to work from 7:00am - 7:00pm on the biweekly rotating schedule
• Access to reliable transportation and valid US driver's license
• Must be 18 years of age OR older
• Preferred: 1+ years of scheduling and authorizations
• Healthcare experience and clinical knowledge
• Ability to work night and weekend hours

Responsibilities

• Communicates directly with patients and/or families to complete the registration process by collecting demographics, health information, and verifying insurance eligibility/benefits
• Uses computer systems to enter or verify patient data in real-time
• Gathers clinical information and processes referrals, pre-certifications, pre-determinations, and pre-authorizations
• Verifies insurance coverage and creates price estimates
• Collects patient co-pays and discusses out-of-pocket obligations
• Identifies outstanding balances and collects amounts due
• Schedules appointments with provider offices prior to discharge
• Responds to patient inquiries with compassion and respect
• Generates and analyzes patient data reports and follows up on issues
• Maintains knowledge of registration requirements across departments

Skills

Customer service

Communication

Onsite work

Driver's license

Age 18+

Education

High School Diploma

Job description

$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

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.

Patient Access Representative

The Patient Access Representative welcomes, greets, interviews patients and/or representatives in person or over the telephone to ensure their initial experience with the hospital is exceptional. The Patient Access Representative will also obtain the required demographic and insurance information to ensure proper billing/reimbursement to the hospital. Secure required signatures from patients and/or representatives to protect hospital's interests. Provides excellent patient experience for guests with a high level of professionalism.

Location

O'Connor Hospital - 460 Andes Road, Delhi NY 13753

Training

We offer 4-6 weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

Primary Responsibilities

• Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
• Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
• Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements
• Verifies insurance coverage, benefits, and creates price estimates, reverifications as needed
• Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
• Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
• Responsible for collecting data directly from patients and referring to provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
• Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
• Generates, reviews, and analyzes patient data reports and follows up on issues and inconsistencies as necessary
• Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units

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 customer service experience
• Ability to work onsite at our Cobleskill, NY facility
• Ability to work from 7:00am - 7:00pm on the following biweekly rotating schedule
  • Week 1: Saturday, Sunday & Monday
  • Week 2: Tuesday, Wednesday & Thursday
• Access to reliable transportation and valid US driver's license
• Must be 18 years of age OR older

Preferred Qualifications

• 1+ years of experience in scheduling and authorizations
• Healthcare experience and clinical knowledge
• Ability to work night and weekend hours

Soft Skills

• Ability to engage and effectively communicate with individuals and groups of adults at all levels within the organization
• Ability to build rapport quickly, develop trust, sustain working relationships, and represent CRH positively in internal and external meetings
• Strong time-management and organizational skills
• Effective communication skills and interpersonal skills
• Basic keyboarding skills
• Strong interpersonal, communication and customer service skills

Physical And Work Environment

• Standing for long periods of time (10 hours) while using a workstation on wheels and phone/headset
• PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

Pay and Benefits

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 $16.00 to $29.00 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.

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.

#RPO, #RED