Patient Service Specialist

1 month ago

Quincy, Massachusetts, United States UnitedHealth Group Full time
Job Title: Patient Service Specialist

Optum, a global organization, delivers care and technology to help millions of people live healthier lives. As a Patient Service Specialist, you will play a vital role in connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Our team is guided by diversity and inclusion, and we offer comprehensive benefits, career development opportunities, and a culture that values teamwork and collaboration.

Job Summary:

We are seeking a friendly, patient-focused, and detail-oriented Patient Service Specialist to join our team. The successful candidate will be responsible for completing set processes and protocols, working cooperatively with the care team to support the organization's vision and mission, delivering excellent customer service, and adhering to Lean processes. The ideal candidate will support the teams in meeting financial, clinical, and service goals.

Responsibilities:
  • Obtain accurate and updated patient information, such as name, address, and insurance information.
  • Perform insurance verification on the date of service.
  • Obtain patient signatures for required documents.
  • Upload a valid Government-issued state ID and patient insurance cards.
  • File and maintain medical records.
  • Correct registration work queue errors.
  • Confirm and schedule appointments.
  • Answer telephone calls promptly and courteously.
  • Perform referral documentation promptly.
  • Work 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 of current medical requirements relevant to their position, including maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements.
  • Comfortable working in a high-paced environment.
  • Provide effective communication to patient/family team members and other healthcare 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 issue 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.
What We Offer:

At UnitedHealth Group, we offer a 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.).
Requirements:

We are seeking a candidate with a High School Diploma/GED (or higher) and 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 is also required.

Preferred Qualifications:

1+ years of experience working in a medical front office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records. Intermediate level of computer proficiency, including the use of MS Word, Excel, Outlook, and multiple web applications. Knowledge of Epic EMR software. Bilingual in Spanish and English.

Soft Skills:

Ability to work independently and maintain good judgment and accountability. Demonstrated ability to work well with healthcare providers. Strong organizational and time management skills. Ability to multi-task and prioritize tasks to meet all deadlines. Ability to work well under pressure in a fast-paced environment. Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others.

Why Choose UnitedHealth Group?

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.

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