Healthcare Representative

UnitedHealth GroupBoston, MA
$16 - $29Onsite

About The Position

This position is Onsite. Our office is located at Beth Israel Deaconess Medical Center 1330 Brookline Ave Boston, MA 02215. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. This position is full-time, Tuesday - Saturday. Employees are required to have flexibility to work our 8-hour shift schedules during our normal business hours of 8:30 am - 5:00 pm This will be on the job training and the hours during training will be normal business hours.

Requirements

  • High School Diploma/GED OR equivalent experience
  • Must be 18 years of age OR older
  • 1+ years of customer service experience
  • Experience with Microsoft Office products
  • Experience working in a group or office space setting
  • Ability to work at Beth Israel Deaconess Medical Center 330 Brookline Ave Boston, MA 02215
  • Must be able to work on Tuesday - Saturday from 8:30 am to 5:00 pm

Nice To Haves

  • 1+ years of Customer Service experience within a hospital or healthcare environment
  • Knowledge of federal and state programs that will benefit coverage for clients
  • Knowledge of medical terminology
  • Experience communicating with patients & staff with various educational & socio-economic backgrounds
  • Bilingual fluency in English/Spanish
  • EPIC experience
  • Excellent organizational skills
  • Strong communication skills

Responsibilities

  • Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage.
  • Complete applications for state and federal programs.
  • Review medical records and take all necessary actions to expedite benefit approval.
  • Adhere to company and legal standards regarding Protected Health Information (PHI), Personal Identifiable Information (PII) and Personnel Transaction Identifier (PTI).
  • Maintain ongoing communication with government agencies regarding the status of claims.
  • Provide updates and assistance to hospital personnel and other Optum staff as needed.
  • Maintain documentation of status of claims and client contract on Optum and/or hospital computer systems.
  • Determine when to use a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records.
  • Willing to work in a fast-paced hospital or healthcare environment.

Benefits

  • a comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
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