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Patient Access Representative - Emergency Department - Cooperstown, NY

Company: Optum
Location: Clayville
Posted on: July 2, 2024

Job Description:

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.
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 Associate will also obtain the required demographical 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.
This position is full-time in Emergency Department. Employees are required to have flexibility to day and evening, 4-5 days a week with rotating weekends. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1 Atwell Road, Cooperstown NY.
We offer 4 - 6 weeks of paid training. This will be on the job training and the hours during training will be 8:00am - 4:00pm, Monday - Friday.
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 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

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.)
More information can be downloaded at: -

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/GED (or higher)
1+ years of Customer Service experience
Ability to train dayshift, 4 - 6 weeks, 8:00am - 4:00pm, Monday - Friday
Ability to work full-time in Emergency Department. Employees are required to have flexibility to work day and evening shifts, 4-5 days a week with rotating weekends. It may be necessary, given the business need, to work occasional overtime
Must be 18 years of age OR older

Preferred Qualifications:

1+ years of Customer Service experience in a hospital, office, or phone support setting
Experience with Microsoft Office products
Working knowledge of medical terminology
Understanding of insurance policies and procedures
Experience in requesting and processing financial payments
Ability to perform basic mathematics for financial payments
Experience in insurance reimbursement and financial verification
Experience in a Hospital Patient Registration Department, Physician office or any medical setting

Soft 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

New York Residents Only: -The hourly range for New York residents is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.

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.


Keywords: Optum, Utica , Patient Access Representative - Emergency Department - Cooperstown, NY, Other , Clayville, New York

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