Per Diem Patient Access Representative

Patient Access Representative

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.

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 requires signatures from patients and/or representatives to protect hospital's interests. Provides excellent patient experience for guests with a high level of professionalism.

This position is per diem. Employees are required to work our normal business hours with the potential to cover all shifts within a 24-hour day as needed. It may be necessary, given business need, to work occasionally overtime or weekends.

Our office is located at Fox Hospital, 43 Pearl St W, Sidney, NY 13838

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-determination, 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 per-diem hours (generally 8-16 hours per week) with the potential to cover all shifts within a 24-hour day. It may be necessary, given the business need, to work occasionally overtime or weekends
• Must be 18 years of age OR older
• Access to reliable transportation & valid US driver's license

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

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). The hourly pay for this role will range from $16 to $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.