Patient Access Representative

2 weeks ago

Cooperstown, 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. 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.**

The **Patient Access Representative** welcomes, greets, interviews patients and/or representatives in person or over the telephone to ensure their initial experience with the hospital is exceptional; the Patient Access Associate will also obtain the required demographical and insurance information to ensure proper billing/reimbursement to the hospital. Secure required signatures from patients and/or representatives to protect hospital’s interests. Provides excellent patient experience for guests with a high level of professionalism.

This position is full-time in Emergency Department. Employees are required to have flexibility to work between the hours of 11:00am - 9:30pm, 4 days a week with rotating weekends. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1 Atwell Road, Cooperstown NY.

We offer 4 - 6 weeks of paid training. This will be on the job training and the hours during training will be 8:00am - 4:00pm, Monday - Friday.

**Primary Responsibilities**:

- 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 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.

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**:

- Must be 18 years of age OR older.
- 1+ years of Customer Service experience
- Ability to train dayshift, 4 - 6 weeks, 8:00am - 4:00pm, Monday - Friday
- Ability to work full-time in Emergency Department. Employees are required to have flexibility to work between the hours of 11:00am - 9:30pm, 4 days a week with rotating weekends. It may be necessary, given the business need, to work occasional overtime.

**Preferred Qualifications**:

- 1+ years of Customer Service experience in a hospital, office, or phone support setting
- Experience with Microsoft Office products
- Working knowledge of medical terminology
- Understanding of insurance policies and procedures
- Experience in requesting and processing financial payments.
- Ability to perform basic mathematics for financial payments.
- Experience in insurance reimbursement and financial verification
- Experience in a Hospital Patient Registration Department, Physician office or any medical setting

**Soft Skills**:

- Strong interpersonal, communication and customer service skills

**Physical and Work Environment**:

- Standing for long periods of time (10 hours) while using a workstation on wheels and phone/headset.
- 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, historic

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