Patient Access Representative (Central Registration)

UnitedHealth Group•Cooperstown, NY

4d•$16 - $29•Onsite

About The Position

The Patient Access Representative (Central Registration) is responsible for providing patient-oriented service in a clinical or front office setting. This role 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. The position is located at 1 Atwell Rd Cooperstown, NY. The schedule is Monday-Friday 8:30 am - 5:00 pm with occasional Saturdays, and it may be necessary to work occasional overtime or weekends based on business needs. The company offers 4-6 weeks of on-the-job training, with training hours aligned with the employee's schedule.

Requirements

High School Diploma/GED or equivalent experience
1+ years of experience working in a customer service environment OR working in a professional/military setting using a computer and telephone
Ability to work onsite for all scheduled workdays
Ability to work the schedule listed in the job qualifications of this role
Ability to work occasional overtime, weekends, or holidays as needed
Must be 18 years of age or older

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
Strong interpersonal, communication and customer service skills

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.