Healthcare Representative

UnitedHealth Group•Decatur, GA

4h•Onsite

About The Position

This position is Onsite. Our office is located at Emory Decatur Hospital, located at 2701 N Decatur Rd, Decatur, GA 30033. 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. 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 have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm EST, including one weekend shift per month. It may be necessary, given the business need, to work occasional overtime and / or weekends. We offer 4 weeks of paid on-the-job training. The hours of training will be during normal business hours.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
1+ years of healthcare OR medical experience
Experience with Microsoft Office products
Ability to work onsite at Emory Decatur Hospital, located at 2701 N Decatur Rd, Decatur, GA 30033, and to cover shifts at other local facilities as business needs dictate
Ability to work full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm EST, including one weekend shift per month. It may be necessary, given the business need, to work occasional overtime and / or weekends.

Nice To Haves

1+ years of Customer Service experience within a hospital
Bilingual fluency in English and Spanish
Knowledge of medical terminology
Experience communicating with patients & staff with various educational & socio-economic backgrounds
Knowledge of federal and state programs that will benefit coverage for clients
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 (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