Patient Access Specialist

UnitedHealth Group • Walnut Creek, CA

13d • $18 - $32 • Hybrid

About The Position

The Patient Access Specialist 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, 40 hours a week. Employees are required to work any shift during our hours of 7:30am to 8:15pm Monday to Sunday including the flexibility to work occasional overtime based on business need. We offer on-the-job training.
This position is primarily based in Walnut Creek but does require coverage at two of our other facilities, as needed. Locations include 1450 Treat Blvd – Walnut Creek, CA, 5860 Owens Dr – Pleasanton, CA, and 2400 Balfour Rd – Brentwood, CA.

Requirements

• High School Diploma/GED
• 1+ years of experience in a hospital, office setting, customer service setting, or phone support role
• Ability to work full-time in any of our shifts (variable days/shifts - Monday to Sunday between 7:30am to 8:15pm) including the flexibility to work occasional overtime based on business need
• Ability to work at any of our local sites as needed (Walnut Creek, Pleasanton, and Brentwood, CA)

Nice To Haves

• 1+ years of experience with prior authorizations
• 1+ years of experience working with electronic health records
• Experience with using Microsoft Office products
• Experience in a Hospital Patient Registration Department, Physician's 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
• Strong interpersonal, communication, and customer service skills

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
• When contacting payers directly, utilizes approved scripting
• 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 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

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