Patient Access Representative

UnitedHealth Group•Pittsfield, ME

38d•$16 - $29•Onsite

About The Position

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. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Requirements

High School Diploma/GED
6+ months of experience in an office setting, customer service setting (over the phone OR face to face), phone support role or call center environment
Intermediate level of proficiency with Microsoft Office products
Influenza vaccination for the current flu season (typically August-May) or commitment to receive the influenza vaccination when available for the upcoming flu season
Ability to work Monday - Friday from 8:00am - 4:30pm

Nice To Haves

1+ years of Patient Access experience in a hospital OR medical setting
Prior experience working an overnight schedule
Understanding of medical terminology
Working knowledge of insurance policies, procedures and patient care settings

Responsibilities

Performs insurance verification duties to financially clear the patient in advance of date of service
Verifies healthcare coverage and benefits for applicable services, working with the patient, provider, and payer to ensure accurate information and needs are met in advance of service
Ensures excellent customer service when assisting patients, providers, and other departments
Collects and updates patient demographic and insurance information, making changes as necessary to ensure accuracy with insurance benefits, referrals, and authorizations
Verifies precertification / authorizations for scheduled services utilizing internet sites, payer contacts, and software as appropriate
Assesses coverage and benefits, and accurately determines patient responsibility as applicable
Identifies self-pay patients and shares information with financial counseling for assistance with patient financial obligation and options
Partners closely with the clinical, office, billing, and registration teams and works to review authorizations timely, as applicable
Appropriately documents all conversations with insurance companies and health care facilities that pertain to the authorizations or payment of services
Escalates questions or concerns to leadership as needed
Maintains and exhibits a current knowledge of insurance plans, associated workflows and information, and the impact of this role within the revenue cycle
Remains aware of department productivity expectations, and other measurable performance data and meets / exceeds individual contributions to the team performance
Strives to maximize revenue and minimize bad debt
Maintains a safe environment complying with NLH policies and procedures; reports and directly addresses environmental hazards and violations of patient safety policy and / or protocol when involved or observed
May perform other duties upon request