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Patient Service Specialist

4 months ago

Natick, United States Optum 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.** **Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and **your life’s best work.**SM**

**ReadyMED **has an immediate opening for a friendly, patient focused and detailed oriented **Patient Service Specialist** to join our team. The **Patient Service Specialist** is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals.

**Working Hours**:36 hours a week with 3 12-hour shifts any day of the week, including every other weekend and some holidays. The shifts are from 8:30 am to 9:30 pm EST. The shifts are to be determine by the supervisor upon hire. May be asked to cover other clinics as needed.

**Location**:1400 Worcester Street, Natick, MA 01760

**Primary Responsibilities**:

- Obtain accurate and updated patient information, such as name, address, insurance information
- Perform insurance verification on the date of service
- Obtain patient signatures for required documents
- Upload a valid Government issued state ID of patient and patient insurance cards
- File and maintain medical records
- Consistently correct registration work queue errors
- Confirms and schedule appointments
- Answer telephone calls promptly and courteously
- Perform referral documentation promptly
- Working daily in the claims edit work queue to correct registration errors for submission to insurance companies
- Adhere to the standards identified via Sparq regarding Optum Employee Policies
- Work cohesively with fellow employees to achieve specific team goals
- Keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements
- Comfortable working in high pace environment
- Provide effective communication to patient / family team members and other health care professionals as evidenced by documentation, case conferences, communication notes, and evaluations
- Notify clinical staff of schedule changes as they occur
- Comply with administrative policies to ensure quality of care
- Demonstrate precision and efficiency in scanning documents and monitoring the fax server, retrieving and / or scanning documents and assigning to the appropriate electronic chart
- Participate in orientation (scheduling segment) of new field employees and distribute updates and changes as needed
- Perform other related duties and assignments as required
- Complete new clinical competencies rolled out by the Educational Committee
- Collect co-payments, co-insurance and deductibles and issues receipts
- Manage cashier box and daily deposits according to company policies
- Process walk-in patients and visitors
- Assist coworkers as needed to assure smooth office operation and delivery of excellent service through teamwork
- Demonstrate respect for patients and ReadyMed staff by presenting a friendly, courteous manner at all times and maintaining patient confidentiality
- Performs other duties as assigned

**What are the reasons to consider working for UnitedHealth Group? 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. Some of our offerings include**:

- 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.)

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 (or higher)
- 1+ years of customer service or healthcare related experience
- Access to reliable transportation and the ability to travel 10% of the time to cover other practices as needed

**Preferred Qualifications**:

- 1+ years of expe