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UnitedHealth Groupposted 2 months ago
$16 - $33/Yr
Full-time • Entry Level
Gilbert, AZ
Insurance Carriers and Related Activities
Resume Match Score

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. The Patient Access Specialist (Financial Counselor) functions as an integral member of the team and is the first point of contact for all persons inquiring about the provider's practice. The primary role is to organize the practice's daily activities and paperwork. This position is full-time, Sunday- Wednesday. Employees are required to work our normal business hours of 8:00am - 6:30pm. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 3555 S. Val Vista Drive Gilbert, AZ. We offer 4 weeks of paid training. The hours during training will be 8:00am to 4:30pm, Monday - Friday. Training will be conducted on-site.

Responsibilities

  • Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage.
  • Obtains referral, authorization and pre-certification information and documents this information in system.
  • Identifies outstanding balances from patient's previous visits and attempts to collect any amount due.
  • Trains staff on computer systems, new processes, payer updates and assigned reporting.
  • Functions as a Superuser for primary computer systems.
  • Proactively identifies and leads department process improvement opportunities.
  • Works on Special Projects as needed.
  • Performs the duties of a Patient Access Representative.
  • Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areas.

Requirements

  • High School Diploma/GED (or higher).
  • 2+ years of experience in Customer Service such as hospital, office setting, customer service setting, or phone support.
  • 1+ years of electronic health record experience.
  • Ability to work 100% onsite at Mercy Gilbert Medical Center.
  • Ability to work Sunday - Wednesday 8:00am - 6:30pm.
  • Must be 18 years of age or older.

Nice-to-haves

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

Benefits

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