Patient Access Representative at St. Joes Hospital

3 weeks ago

Phoenix, 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.**

Responsible for providing patient-oriented service in a clinical or front office setting; performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting, and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment.

This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours (Multiple Dayshifts and mid-shifts available). It may be necessary, given the business need, to work occasional overtime. Our office is located at 350 W. Thomas Rd. Phoenix, AZ.

We offer 4 weeks of paid training. The hours during training will be 8:00am to 4:30pm, 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**:

- 1+ years of Customer Service experience such as hospital, office setting, customer service setting, or phone support
- Ability to work 100% onsite at St. Joe’s Hospital at 350 W. Thomas Rd, Phoenix, AZ
- Must be 18 years of age OR older
- Must be available for the training hours: Monday to Friday 8:00am to 4:30pm
- Ability to work Dayshift, Mid-shift, and or Weekend shifts after training

**Preferred Qualifications**:

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

**Soft Skills**:

- Strong interpersonal, communication and customer service skills

**Physical and Work Environment**:

- Standing for long periods of time (10 to 12 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, 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 enterp

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