Healthcare Representative

UnitedHealth GroupLynchburg, VA
269d$16 - $28Onsite

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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 (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 8am - 5pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1901 Tate Springs Rd Lynchburg, VA 24501. 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+ years of customer service experience within a hospital or healthcare environment
  • Experience with Microsoft Office products
  • Ability to work on site at Centra Lynchburg General Hospital, 1901 Tate Springs Rd Lynchburg, VA 24501
  • Ability to work full time from Monday to Friday, 8am - 5pm EST

Nice To Haves

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

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

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Insurance Carriers and Related Activities

Education Level

High school or GED

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