Healthcare Representative

UnitedHealth Group•Bangor, ME

3d•$18 - $32•Onsite

About The Position

The Healthcare Representative interviews and advocates for patients and their families in a hospital or healthcare setting to help them obtain maximum benefit coverage. The role includes completing applications for state and federal programs, reviewing medical records, expediting benefit approval, communicating with government agencies, and documenting claim and contract status in Optum and/or hospital computer systems. The representative works with hospital personnel and Optum staff, follows requirements for protecting sensitive information, and determines which program application is appropriate based on medical records and disability-related criteria. The position is onsite at 489 State St, Bangor, Maine, and includes four weeks of on-the-job training aligned with the employee’s schedule. It is full-time, Monday through Friday, with flexibility to work an eight-hour shift during normal business hours of 8:00 a.m. to 4:30 p.m. EST; occasional overtime may be necessary.

Requirements

High school diploma/GED or equivalent experience.
Must be at least 18 years of age.
At least 1 year of customer service experience in healthcare, government (state or federal), social services, or human services settings.
Experience with Microsoft Office products.
Ability to work onsite at 489 State St, Bangor, ME 04401.
Ability to work Monday through Friday, 8:00 a.m. to 4:30 p.m. EST.
Full flu vaccination; candidates in states mandating flu booster doses must comply with those requirements.
Ability to perform all essential job functions with or without reasonable accommodation.
Willingness to work in a fast-paced hospital or healthcare environment.

Nice To Haves

Experience communicating with patients and staff from varied educational and socioeconomic backgrounds.
Knowledge of medical terminology.
Bilingual fluency in English and Spanish.
Knowledge of federal and state programs that can benefit clients’ coverage.

Responsibilities

Interview patients in a hospital setting and work with hospital personnel to help patients obtain maximum benefit coverage.
Complete applications for state and federal programs, including Health Exchange/Marketplace programs.
Review medical records and take necessary actions to expedite benefit approval.
Follow company and legal standards regarding Protected Health Information (PHI), Personally Identifiable Information (PII), and Personnel Transaction Identifier (PTI).
Maintain ongoing communication with government agencies regarding claim status.
Provide updates and assistance to hospital personnel and other Optum staff as needed.
Document claim and client contract status in Optum and/or hospital computer systems.
Determine whether to use a Federal, State, or Local program application based on medical definitions of disability, daily living functions, and medical record information.