About the Role
The Patient Access Representative welcomes, greets, and interviews patients to ensure an exceptional initial hospital experience. This role also obtains necessary demographic and insurance information for proper billing and reimbursement, and secures required signatures. The position offers a culture of inclusion, talented peers, comprehensive benefits, and career development opportunities, aiming to improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need.
Responsibilities
- Communicate directly with patients and/or families in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility/benefits.
- Utilize computer systems to enter or verify patient data in real-time, ensuring accuracy and completeness.
- Gather necessary clinical information and process referrals, pre-certification, pre-determination, and pre-authorizations according to insurance plan requirements.
- Verify insurance coverage, benefits, and create price estimates; reverify as needed.
- Collect patient co-pays and discuss out-of-pocket financial obligations.
- Identify outstanding balances from previous visits and attempt to collect amounts due.
- Collect data directly from patients and refer to provider offices to confirm and schedule patient services prior to hospital discharge.
- Respond to patient and caregiver inquiries related to routine and sensitive topics compassionately and respectfully.
- Generate, review, and analyze patient data reports, following up on issues and inconsistencies.
- Maintain up-to-date knowledge of specific registration requirements for all areas, including Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units.
Requirements
- High School Diploma/GED or higher.
- 1+ years of customer service experience.
- Ability to work per-diem hours (generally 8-16 hours per week) with the potential to cover all shifts within a 24-hour day.
- Ability to work occasionally overtime or weekends as needed.
- Must be 18 years of age or older.
- Access to reliable transportation and a valid US driver's license.
- Ability to stand for long periods of time (10 hours) while using a workstation on wheels and phone/headset.
- Candidates are required to pass a drug test before beginning employment.
Skills
- Basic keyboarding skills.
- Strong interpersonal, communication and customer service 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.
Location
- O'Connor hospital 460 Andes Road, Delhi, NY 13753
Work Type
- Per diem
- Full-time
- Part-time
- Contract
Experience Level
- 1+ years of customer service experience
- 1+ years of experience in scheduling and authorizations (preferred)
- Healthcare experience and clinical knowledge (preferred)
Education Level
- High School Diploma/GED
Salary/Compensations
- $2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
Benefits
- Comprehensive benefits
- Career development opportunities
- 4-6 weeks of on-the-job training
About the Company
- Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives.
- 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.
- 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 a drug-free workplace.
Equal Opportunity
- 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.
