Patient Access Team Lead

UnitedHealth Group; Waukesha (WI); On-site; USD 57,308,000 - 103,155,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental, Vision, Life AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits

Job summary

UnitedHealth Group in Wisconsin is seeking a Patient Access Team Lead to manage insurance verification, scheduling and patient communication at the hospital site. The role emphasizes accuracy in eligibility, billing questions, and coordinating referrals and appointments with providers.

Responsibilities include training new staff, documenting information in the system, and ensuring timely scheduling and patient services.

Qualifications

• High School Diploma or GED required.
• 2+ years hospital or patient registration/clinic experience.
• EPIC experience preferred.
• Experience with Word/Outlook/Excel or similar software preferred.
• Medical secretarial/office training preferred.

Responsibilities

• Verifies, re-verifies and authorizes patient insurance coverage and eligibility.
• Verifies and updates demographic, insurance, and other patient information; collects and posts co-pays.
• Handles patient-care related calls and provides routine information on procedures and policies.
• Schedules appointments and coordinates appointments and referrals.
• Documents information in the computer system and runs reports; trains new employees.

Skills

Superior customer service

Multitasking

Excellent communication

Organizational skills

Education

High School Diploma/GED

Tools

EPIC

Microsoft Word

Outlook

Excel

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Patient Access Team Lead (2391653)

Patient Access Team Lead - 2391653

$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 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 startCaring. Connecting. Growing together.

Hours

Monday-Friday between the hours of 6:45AM to 4:30PM

Location

Waukesha Memorial Hospital - 725 American Ave Waukesha, WI 53188.Will occasionally travel to Oconomowoc Memorial Hospital

Primary Responsibilities

• Verifies, re-verifies and authorizes patient insurance coverage and eligibility utilizing computer-based patient registration/scheduling systems. Verifies and updates demographic, insurance, and other patient information. Confirms, collects, and posts patient co-payments and other outstanding balances. Generates and tracks patient encounter forms. Reviews patient encounter forms for completeness and resolves any discrepancies. Batches encounter forms and submit to appropriate billing area
• Maintains records and makes daily cash deposit as assigned
• Receives and addresses patient-care related telephone calls. Provides routine information on procedures and standard policies, refers matters to appropriate person within department/site
• Identifies problem related priorities, and responds to emergency needs by contacting/interrupting physician/provider within guidelines
• Resolves patients’ questions regarding clinic schedules and billing concerns; handles requests for prescription refills, rescheduling appointments, etc
• Documents appropriate information in computer system. Prepare patient charts. Ensures completeness by locating test results, reminding patients of appointments, including appropriate forms, etc., for patient appointments
• Updates and maintains Telephone Message System (TMS) in computer system. Follows through on requests. Distributes messages to appropriate provider or others for appropriate action
• Enter new referrals or ensure that existing referral numbers are linked in the system to ensure managed care requirements
• Provides patient education regarding managed care plans and referral process. Answers patients’ referral questions, concerns, etc. Provides patients with available options
• Works collaboratively with primary care practices, patients and specialty practices to process outgoing referrals prior to scheduled visits. Follows up with practices that do not issue a referral or obtain referral on a timely basis
• 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
• Maintains recall lists and communicates with patients as appropriate
• May escort patients to examination rooms and chaperones patients as required. May process standard and non-standard business office administrative paperwork, such as purchase requisitions, employee time sheets, expense vouchers, etc. Follows-up with personnel outside the medical office to expedite timely action and alleviate, or report delays as appropriate
• Provides guidance to departmental personnel in the medical office on administrative policies and procedures
• Comply with health and safety requirements and with regulatory agencies such as DPH, etc
• Comply with established departmental policies, procedures, and objectives
• Enhance professional growth and development through educational programs, seminars, etc
• Attends a variety of meetings, conferences, and seminars as required or directed
• Regular, reliable and predictable attendance is required
• Performs other similar and related duties as required or directed
• Run reports as needed
• Conduct training with new employees

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.)

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
• 2 + years of hospital and/or patient registration and/or clinic experience

Preferred Qualifications

• EPIC experience
• Additional specialized medical secretarial/medical office training preferred
• Familiarity with various software applications such as Microsoft Word, Outlook, Excel, etc.

Soft Skills

• Superior customer service skills including the ability to multi-task and resolve patient concerns in a timely manner. Ability to think critically and exercise sound judgment
• Excellent communication, interpersonal and organizational skills

**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 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 $20.00 to $36.00 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 Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.