Bilingual English and Spanish or Creole Healthcare Representative

UnitedHealth Group•Miami, FL
•$16 - $29•Onsite

About The Position

At UnitedHealth Group, we are seeking Bilingual Representatives fluent in English and Spanish or Creole to help our customers by answering their health plan questions in their preferred language. Optum Insight is focused on improving the flow of health data and information to create a more connected system, removing friction and driving alignment between care providers, payers, and consumers. We aim to help organizations reduce costs while improving risk management, quality, and revenue growth. 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 is a full-time position with a Monday-Friday schedule, requiring flexibility for shift schedules between 08:00 AM – 05:00 PM, including holidays and weekends. We provide 8 weeks of on-the-job training aligned with your schedule. You will be rewarded and recognized for your performance in a challenging environment that offers clear direction and development opportunities.

Requirements

  • High School Diploma / GED or equivalent experience
  • Must be 18 years of age OR older
  • Human services experience and/or experience speaking with patients or clinical staff
  • Experience with Microsoft Office products
  • Bilingual fluency in English and Spanish OR Creole
  • Ability to work full-time onsite at Jackson Memorial Hospital, 1611 North West 12th Avenue Miami FL, 33136
  • Ability to work Monday – Friday, 08:00AM – 05:00PM, including holidays, and flexibility to work weekends, as needed
  • Full flu & COVID vaccination is an essential job function of this role. Candidates located in states that mandate flu & COVID booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state, and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Nice To Haves

  • 1+ years of face-to-face patient interaction within a healthcare or human services environment
  • Experience communicating with patients & staff with various educational & socio-economic backgrounds
  • Case management experience
  • Knowledge of medical terminology
  • Knowledge of federal and state programs that will benefit coverage for clients

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 (including Health Exchange/Marketplace 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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