Healthcare Representative
About The Position
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. As a Healthcare Representative, you will interview and advocate for patients and their families to obtain maximum benefit coverage in a hospital or healthcare setting. This position is full-time, Monday – Friday. Employees are required to work our normal business hours of 8:00am – 4:30pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule. 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.
Requirements
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR Older
- 1+ years of experience in Customer Service
- Experience with Microsoft Office products
- Ability to work onsite full time at Rush Copley Medical Center 1320 North Highland Avenue Aurora IL 60506.
- Ability to work our normal business hours of 8:00am – 4:30pm CST. It may be necessary, given the business need, to work occasional overtime
Nice To Haves
- 1+ years of experience in Customer Service within a hospital or healthcare environment
- Bilingual fluency in English and Spanish
- Knowledge of federal and state programs that will benefit coverage for clients
- Knowledge of medical terminology
- Experience communicating
- 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
- 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).
- No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
