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Clinical Registration Specialist

2 months ago

Phoenix, Arizona, United States Optum Full time
Job Summary

We are seeking a highly skilled Patient Access Representative to join our team at Optum. As a Patient Access Representative, you will play a critical role in ensuring the smooth and efficient registration process for patients, while providing exceptional customer service and support.

Key Responsibilities
  • Communicate effectively with patients and families to collect demographic and health information, verify insurance eligibility, and process registrations.
  • Utilize computer systems to enter and verify patient data in real-time, ensuring accuracy and completeness.
  • Gather necessary clinical information and process referrals, pre-certifications, and pre-authorizations according to insurance plan requirements.
  • Verify insurance coverage, benefits, and create price estimates, as needed.
  • Collect patient co-pays and conduct conversations with patients regarding their out-of-pocket financial obligations.
  • Identify outstanding balances and attempt to collect any amount due.
  • Responsible for collecting data from patients and referring provider offices to confirm and create scheduled appointments prior to hospital discharge.
  • Respond to patient and caregiver inquiries related to routine and sensitive topics, always in a compassionate and respectful manner.
  • Generate, review, and analyze patient data reports, following up on issues and inconsistencies as necessary.
Requirements
  • High School Diploma/GED (or higher)
  • 1+ years of experience in a customer service role, such as hospital, office, or phone support
  • Intermediate level of proficiency with Microsoft Office products
  • Ability to work 100% onsite at a hospital setting
  • 18 years of age or older
  • Ability to work a Per Diem/On call schedule
Preferred Qualifications
  • 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