Full Time Team Lead

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. The **Patient Access Lead** functions as an integral member of the team and is the first point of contact for all people inquiring about the provider's practice. 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

+ Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration

+ Properly identifies the patient to ensure medical record numbers are not duplicated

+ Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete

+ Meet CMS billing requirements for the completion of the MSP, issuance of the Important Message from Medicare, issuance of the Observation Notice, and other requirements, as applicable and documenting completion within the hospital's information system for regulatory compliance and audit purposes

+ Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information to ensure appropriate reimbursement

+ Carefully reviews all information entered in ADT on pre-registered accounts. Verifies all information with patient at time of registration; Ensures all required documents are scanned into the appropriate system(s)

+ Identifies all appropriate printed material hand-outs for the patient and provides them to the patient/guarantor (Patient Rights and Responsibilities, HIPAA Privacy Act notification, Advance Directive, etc.)

+ identifying patient's MRN in the MPI database, assigning a financial number; and, accurately entering all information when the ADT system is live

+ Follows EMTALA-compliant registration steps for both Emergency Department and Labor and Delivery areas

+ In the Emergency Department follows protocol for special cases, including but not limited to 5150, Sexual Assault Response Team (SART), Domestic Violence patients, Child Protective Services, incarcerated patients, Worker Compensation patients, auto accidents, animal bite reporting, etc. Thoroughly and accurately documents verification information in the ADT system, identifying deductibles, copayments, coinsurance and policy limitations

+ documents this information in the ADT system and submits notices of admission when necessary

+ Verifies medical necessity checks have been completed for outpatient services. If not completed and only when appropriate, uses technology tool to complete medical necessity check and/or notifies patient that an ABN will need to be signed. Identifies payer requirements for medical necessity

+ Verifies patient liabilities with payers, calculates patient's payment and requests payment at the time of registration

+ Thoroughly and accurately documents the conversation with the patient regarding financial liabilities and agreement to pay

+ When collecting patient payments, the department policy and procedure follows regarding applying payment to the patient's account and providing a receipt for payment

+ Clarifies division of financial responsibility if payment for services is split between a medical group and an insurance company. Ensure this information is clearly documented in the ADT system

+ When necessary, escalates accounts to appropriate Patient Registration leadership staff, based on outcomes of the verification process and patient's ability to pay clinic(s)

**Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. 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 Assistance Program

+ Employee Referral Bonus Program

+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

+ 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.

**High School Diploma/GED (or higher)

+ 2+ years of experience in analyzing and solving complex customer problems

+ 1+ years of Patient Access and/or Patient Registration experience

+ Must be 18 years of age or older

**1+ years of experience with prior authorizations

+ 1+ years of team lead experience in patient access

+ Experience with Microsoft Office products

+ Experience in requesting and processing financial payments

+ Experience in insurance reimbursement and financial verification

+ 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

**Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._

_UnitedHealth Group is a drug - free workplace.