Patient Financial Service Representative

1 month ago


Cuyahoga Falls, United States UnitedHealth Group US Full time

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.

This position is full-time (40 hours / week), Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:30 AM – 5:00 PM EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 2750 Front St, Cuyahoga Falls, OH.

We offer 90 days of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment. Training will be conducted on – site.

Primary Responsibilities:

  • Answering inbound calls from patients; averaging 35+ calls per day.
  • Interacts with patients and internal departments to address patient billing inquires and ensure proper resolution.
  • Verify insurance eligibility, initiates payment arrangements, generates itemized bills when appropriate and addresses unpaid and overdue balances.
  • Analyzes and follows up on patient account balances, correcting information, billing or rebilling of insurance carriers as needed.
  • Works patient accounts, credits and denials, under payments, correcting and re – billing COB / no coverage denials in an efficient and timely manner.
  • Collects payments, post appropriate discounts and adjustments to patient accounts.
  • Follows all customer service protocols when working patient accounts.
  • Assures appropriate and timely documentation of all account activity.
  • Work with bad debt vendors on patient issues and concerns.
  • Understands and adheres to all patient account policies.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma / GED
  • Must be 18 years of age OR older
  • 1+ years of experience in customer service
  • 6+ months of experience with working in a call center 
  • 6+ months of experience with working in a clerical role (example: receptionist, front desk position)
  • Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
  • Typing skills, ability to type at the speed of 25+ WPM (words per minute)
  • Reside within a commutable distance of 2750 Front St, Cuyahoga Falls, OH
  • Ability to work any full-time, 8-hour shift between the hours 8:30 AM – 5:00 PM EST from Monday – Friday including the flexibility to work occasional overtime given the business need

Preferred Qualifications:

  • 2+ years of experience with working in billing OR collections in a healthcare facility
  • Knowledge of Medical Terminology

Soft Skills:

  • Excellent communication skills
  • Ability to work under pressure and meet deadlines
  • Attention to detail

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED



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