Associate Patient Service Specialist

3 months ago

Worcester, United States UnitedHealth Group 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 provision of coordinates the provision of multiple services to patients performing a full range of administrative support services for clinic/site including collection of co-payments, registration, and scheduling of patients for medical procedures, tests, associated ancillary services and other related duties. I'm sure it's the highest level of patient/customer satisfaction.

Location: 5 Neponset St. Worcester, MA 01606

Schedule: 38.75 hours a week, Mondays through Friday from 8:30am-5pm

Specialty: Rheumatology & Dermatology

Primary Responsibilities:

  • Verifies, re-verifies and authorizes patient insurance Coverage and eligibility utilizing computer-based patient registration/scheduling system
  • Verifies and updates demographic, insurance, and other patient information
  • Confirms, collects, and posts patient co-payment and other outstanding balances
  • Generates and tracks patient encounter forms; reviews patient encounter forms for completeness and resolves any discrepancies. Batches encounter forms and submit to appropriate building area
  • Maintains records and makes daily cash deposit as assigned
  • Receives and addresses patient care related telephone calls. Provides routine information on procedures and standard policies, refers matters to appropriate person with department/site
  • Identifies problem related priorities and responds to emergency needs by contacting/interpreting physician/provider within guidelines
  • Resolve patients' questions regarding clinic schedules and billing concerns; handles requests for prescription refills, reschedules appointments, etc
  • Documents appropriate information in computer system
  • Prepares patient charts
  • Ensures completeness by locating test results, reminding patients of appointments, including appropriate forms, etc., for patient appointments
  • Updates and maintains Telephone Message System (TMS) in computer system. Follows through on requests. Distributes messages to appropriate provider or others for appropriate action
  • Enters new referrals or ensures that existing referral numbers are linked in the system to ensure managed care requirements
  • Provides patient education regarding managed care plans and referral process. Answers patient's referral questions, concerns, etc. Provide patient with available options
  • Works collaboratively with primary care practices, patients, and specialty practices to process outgoing referrals prior to scheduled visits. Follows up with practices that do not issue a referral or obtain referral on a timely basis
  • Interfaces with staff, providers, and patients regarding denied referrals. Documents information and assists with alternate plan of care, if needed
  • Completes and maintains patient schedules. Schedules and coordinates patient visits and medical procedures for both inpatients and outpatients. Communicates with patients regarding all information related to scheduled appointments
  • Notifies providers, patients and others of changes such as new scheduling, re-scheduling, no-show, emergency appointments and add-ons
  • Maintains recall lists and communicate with patients as appropriate. May inform nursing staff or others of laboratory and diagnostic study results; collects and mails test results
  • May escort patient to examination rooms and chaperones patents as required
  • May process standard and non-standard business office administrative paperwork, such as purchase requisitions, employee timesheets, expense vouchers, etc. Follows up with personnel outside the medical office to expedite timely action and alleviate, or report delays as appropriate
  • Provides guidance to departmental personnel in medical office on administrative policies and procedures
  • Complies with health and safety requirements and with regulatory agencies such as DPH, etc
  • Complies with established departmental policies, procedures, and objectives
  • Enhances professional growth and development through educational programs, seminars, etc
  • Attends a variety of meetings, conferences, and seminars as required or directed
  • Regular, reliable, and predictable attendance is required
  • Performs other similar and related duties as required or directed
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 experience
  • 1+ years of experience working in a healthcare setting
  • Intermediate level of proficiency with Microsoft Office including Word, Outlook, Excel, etc
  • Ability to work in office in office at 5 Neponset St. Worcester, MA 01606
  • Ability to work 38.75 hours a week, Mondays through Friday from 8:30am-5pm
Preferred Qualifications:
  • Specialized medical secretarial/medical office training
  • Previous pediatrics experience
Soft Skills:
  • Ability to multitask and resolve patient concerns in a timely manner
  • Ability to think critically and exercise sound judgment
  • Excellent communication, interpersonal and organizational skills

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 enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #Red

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