Healthcare Representative

UnitedHealth Group•Presque Isle, ME

11h•$16 - $29•Onsite

About The Position

This position is Onsite. Our office is located at 140 Academy Street, Presque Isle, Maine. Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: 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 (40 hours/week) 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 - 4:30 pm EST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Requirements

High School Diploma / GED or equivalent experience
Must be 18 years of age OR older
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 on site at 140 Academy Street, Presque Isle, Maine
Ability to work Monday - Friday, 8:00 am - 4:30 pm EST
Full Flu vaccination are an essential job function of this role. Candidates located in states that mandate Flu 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

Experience communicating with patients & staff with various educational & socio-economic backgrounds
Knowledge of medical terminology
Knowledge of federal and state programs that will benefit coverage for clients
Bilingual fluency in English and Spanish

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