Patient Access Representative

UnitedHealth Group • Herkimer, NY

5d • Onsite

About The Position

The Patient Access Representative is responsible for providing patient-oriented service in a clinical or front office setting; performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting, and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment.
This position is full-time, where employees are required to work two 12-hour shifts and two 8-hour shifts with every other weekend. Our office is located at 321 E Albany Street, Herkimer, NY 13350We offer 4-6 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

Requirements

• High School Diploma/GED
• 1+ years of experience in a hospital, office setting, customer service setting, or phone support role
• Ability to work onsite at 321 E Albany Street, Herkimer, NY 13350
• Ability to work the required schedule: Two 12-hour shifts and two 8-hour shifts with every other weekend need, to work occasional overtime or weekends

Nice To Haves

• Experience with Microsoft Office products
• Experience in requesting and processing financial payments
• Experience in insurance reimbursement and financial verification
• Experience in a Hospital Patient Registration Department, Physician office or any medical setting
• Working knowledge of medical terminology
• Understanding of insurance policies and procedures
• Ability to perform basic mathematics for financial payments

Responsibilities

• Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
• Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
• Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements
• Verifies insurance coverage, benefits, and creates price estimates, reverifications as needed
• Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
• Identifies outstanding balances from patient’s previous visits and attempts to collect any amount due
• Responsible for collecting data directly from patients and referring to provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
• Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
• Generates, reviews and analyzes patient data reports and follows up on issues and inconsistencies as necessary
• Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED