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Patient Access Representative
7 days ago
$3,000 Sign On Bonus For External Candidates
Exciting Opportunities at Northern Light Health, in collaboration with Optum. If you are seeking a rewarding role in the healthcare field, Northern Light Health offers a variety of positions where you can impact the lives of those we serve. Whether you prefer a large medical center, a community practice, or home care, we have a place for you in our statewide health care system in Maine. Join us in our mission of Empathy. Unity. Progress.
Location: Northern Light Sebasticook Valley Hospital, Pittsfield, ME
Key Responsibilities:
- Conduct insurance verification processes to ensure patient financial clearance before services are rendered
- Verify healthcare coverage and benefits, collaborating with patients, providers, and payers to meet service requirements
- Deliver exceptional customer service to patients, providers, and internal departments
- Update patient demographic and insurance details accurately to ensure compliance with insurance benefits
- Verify precertifications/authorizations for scheduled services using relevant platforms
- Assess coverage and benefits to determine patient responsibility
- Identify self-pay patients and provide necessary information for financial counseling
- Collaborate with various teams to review authorizations promptly
- Document all interactions related to authorizations or service payments
- Address inquiries to leadership when necessary
- Maintain updated knowledge of insurance plans and workflows within the revenue cycle
- Adhere to departmental productivity standards and contribute to team performance
- Focus on revenue maximization and minimizing bad debt
- Ensure a safe environment in compliance with NLH policies and report any hazards
- Participate in additional duties as required
Minimum Qualifications:
- High School Diploma / GED (or higher)
- At least 6 months of experience in an office or customer service setting (in person or over the phone)
- Intermediate proficiency in Microsoft Office applications
- Ability to work occasional overtime as needed
- Mandatory flu vaccination as part of the role
- 1+ year of experience in Patient Access within a medical environment
- Familiarity with medical terminology
- Knowledge of insurance policies, procedures, and patient care settings
UnitedHealth Group is dedicated to improving healthcare access and outcomes for all individuals. We prioritize diversity, equity, and inclusion as core values in our efforts to address health disparities and ensure equitable care. We are committed to providing a healthy work environment and promoting equal opportunities for all candidates.
UnitedHealth Group maintains a drug-free workplace and requires all candidates to undergo drug testing prior to employment.
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