UnitedHealth Group Inc.-posted 15 days ago
Part-time • Entry Level
Onsite • Mount Pleasant, PA
5,001-10,000 employees
Insurance Carriers and Related Activities

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 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-pay and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours at Frick Hospital or variable shifts at the ED, which is open 24 hours a day, 7 days a week. It may be necessary, given the business need, to work occasional overtime. Our office is located at 508 South Church Street Mt. Pleasant, PA. We offer 3-4 weeks of paid training. Training consists of 20 "buddy shifts" as well as a training program with a training team on the computer that is about one weeklong. The hours of the training will be based on the schedule of the person you will be shadowing. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

  • 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
  • High School Diploma/GED (or higher)
  • 1+ years of customer service experience in a hospital, office setting, customer service setting or phone support role
  • Ability to work part time including the flexibility to work occasional overtime given the business need
  • Experience with Microsoft Office products
  • Experience in a Hospital Patient Registration Department, Physician office or any medical setting
  • Working knowledge of medical terminology
  • Understanding of insurance policies and procedures
  • Experience in insurance reimbursement and financial verification
  • Ability to perform basic mathematics for financial payments
  • Experience in requesting and processing financial payments
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