Patient Service Representative

Patient Services RepresentativeOptum NY/NJ, is seeking a Patient Services Representative to join our team in Rock Hill, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.Multi-Specialty, part of Optum, has an immediate opening for a friendly, patient focused and detail oriented Patient Services Representative to join our team. Patient Services Representative 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.The Patient Services Representative greets and registers patients in a prompt, pleasant and helpful manner, as well as instructs, directs, and schedules patients and visitors. The Patient Services Representative receives payments from patients, issues receipts and posts payment data.Schedule: Office is open seven days a week, 365 days a year. This role would consist of a 37.5-hour work week, between the hours of 11:30 am to close (approximately 8:30 pm). The schedule will be determined by the supervisor upon hire. Rotating Holidays and WeekendsLocation: 61 Emerald Place, Rock Hill, NY 12775Primary Responsibilities:Adheres to standards of professionalism set by the PracticeAlways maintains professional appearance by adhering to dress code and wearing identification badgeDemonstrates and maintains professionalism in behavior and courtesy toward the patients and staffRespects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice and staff membersFunctions as a member of a team committed to quality patient careTakes initiative to keep informed of new/revised Policy and Procedures, Standards of Care and incorporates these into practiceAttends and participates in mandatory quarterly staff meetings / huddlesCompletes Mandatory Education timely and consistentlyAttends and participates in training, review classes and projects as assignedHandles difficult situations and people with tact, professionalism and H.E.A.R.TAccurately documents patient complaints and concerns, ensuring the patient feels heard and supported. Appropriately escalates issues to the designated personnel for timely resolutionDemonstrates good judgment in escalating difficult situations and people to Management personnelDemonstrates professionalism in attendance & punctuality. Consider number of unauthorized or unscheduled absences, a pattern of before and after-weekend absences, tardiness and early departures, and long meal periods in accordance with the policyPromotes a positive work attitude, fostering teamwork and acceptance of management decisionsSupports on-site training initiative for new Patient Services employeesAssist co-workers whenever possible, to achieve office goals and patient satisfactionWorks independently, takes initiative in completing assignments and does so without reminderCompletes all miscellaneous work assigned by Director, Assistant Director, Manager, Supervisor, Team Leader or Physician accurately and in a timely mannerOpens office as needed; turns on copiers, terminals and printers, and updates computer for current day's sessionCommunicate with clinical staff to keep patient informed of appointment statusVerifies insurance eligibility and coverage by phone, independent website, RTE or EPIC at time of serviceVerifies patient demographic and insurance information at time of visit. Ensure all demographic and insurance information is accurate, complete and up to date in the patient's chart. Scans current insurance card and photo identification into systemProvides, explains and reviews for accurate completion, all Registration forms, consent forms and obtains signatures as requiredProvides and explains the Authorization to Release Health Information to patient at their request and documents appropriatelyDiscusses balances due, including past balance, co-payments, co-insurance and deductibles, referring to Patient Accounts as necessary; takes responsibility for collecting and posting payments from patients at time of service via check, money order or credit card in compliance with our policies and proceduresOffers Patients My Chart Activation in compliance with Meaningful Use guidelinesProvides After visit Summary in compliance with ACO guidelinesFollow end of day check process daily to total and balance collectionsBegins the check in process in EPIC. Act on notations and complete the check in process successfullySchedules/Cancels/Reschedules patient appointments as ordered by the physician adhering to scheduling policies and proceduresObtains HMO insurance referrals as required for maximum reimbursement of services renderedNotifies management or other departments appropriately using Clerical Templates for various issues/requests/reasonsMaintains supply inventories and equipment necessary for the effective performance of the job; communicates supply needs to the office supervisor in a timely mannerMaintains a neat, organized, orderly environment in the reception and waiting room areas, including physician business cards, brochures, signage, etcCloses office as needed, ensuring all patients accounted for and discharged. May be required to set alarmActively demonstrates good oral and written communication skills with both internal and external customersDemonstrates flexibility in schedule to meet patient and office needsParticipate in a rotating schedule for holidays and weekends, if applicable. May be required to adjust shifts to meet the operational needs of the practiceCross-trained in all specialties to ensure continuity of service and coverage across the department. All staff are hired for the building, not a specific suite or specialty, and expected to adapt to evolving practice needsMaintains the kiosk representative station when assigned, assisting patients with check-in, navigation, and general inquiries to ensure a welcoming and supportive experienceWorks with a sense of urgencyPerforms other tasks as required for the effective and efficient functioning of the Practice when directed to do so by Supervisory and Managerial personnelActively monitors and works assigned and unassigned work queues during downtime to support efficient operations and ensure timely patient serviceRespond to emails promptly and professionally, ensuring all inquiries and concerns are addressed in a timely manner. Utilize Reply All when neededPerforms other duties as assignedWhat 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 HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary 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 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:High School Diploma/GED1+ years of customer service or healthcare related experience1+ years of computer proficiency experience (including being able to work on multiple web browsers using dual monitors at the same time to include Microsoft Outlook)Preferred Qualifications:Experience as a receptionist in a healthcare setting