Patient Services Representative

4 weeks ago


Buffalo, New York, United States Optum Full time
Job Title: Patient Services Representative

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.

Key Responsibilities:
  • Adheres to standards of professionalism set by the Practice
  • Always maintains professional appearance by adhering to dress code and wearing identification badge
  • Respects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice and staff members
  • Functions as a member of a team committed to quality patient care
  • Provides excellent customer service and adheres to Lean processes
  • Supports the teams in meeting financial, clinical and service goals
  • Verifies insurance eligibility and coverage by phone, independent website, RTS, Phreesia or at time of service
  • Verifies patient demographic and insurance information at time of visit
  • Provides, explains and reviews for accurate completion, all Registration forms, i.e. Patient Representative, Patient Registration form, and Family Information form where applicable and obtains signatures as required
  • Provides and explains the Authorization to Release Health Information to patient at their request
  • Determines balances due including past balance, co-payments, co-insurance and deductibles, referring to Patient Accounts as necessary; takes responsibility for collecting and posting payments from patients at time of service via checks, cash or credit card in compliance with Cash Control Policies and Procedures
  • Invites patient's with the Patient Portal enrollment (PxP) in compliance with Meaningful Use guidelines
  • Provides After visit Summary in compliance with ACO guidelines
  • Prepares Batch Report daily to total and balance collections
  • Begins the check in process in EPM, Phreesia, and Siemens. Act on notations in all systems and completes the auto-flow process successfully
  • Schedules /Cancels /Reschedules patient appointments as ordered by the physician adhering to scheduling policies and procedures
  • Obtains or issues HMO insurance referrals as required for maximum reimbursement of services rendered
  • Notifies management or other departments appropriately using Clerical Templates for various issues/requests/reasons
  • Maintains supply inventories and equipment necessary for the effective performance of the job; communicates supply needs to the office supervisor in a timely manner
  • Maintains a neat, organized, orderly environment in the reception and waiting room areas, i.e . magazines, physician business cards, brochures, signage, etc
  • Closes office as needed, ensuring that lights, terminals and office machines have been turned off and all patients accounted for and discharged. May be required to set alarm
  • Actively demonstrates good oral and written communication skills with both internal and external customers
  • Demonstrates flexibility in schedule to meet patient and office needs
  • Works with a sense of urgency

Optum offers a comprehensive benefits package, competitive base pay, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • 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.)

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.

Requirements:
  • High School Diploma/GED (or higher)
  • 1+ years of customer service or healthcare related experience
  • Intermediate level of computer proficiency (including being able to work on multiple web browsers using dual monitors at the same time to include Microsoft Outlook)

Optum complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).



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