Emergency Department Patient Access Representative

2 weeks ago

Little Falls, New York, United States UnitedHealth Group Full time

Job Summary:

The Emergency Department Patient Access Representative is responsible for providing exceptional patient service in a fast-paced clinical environment. This role involves a variety of administrative duties, including greeting and checking in patients, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office tasks as required.

Key Responsibilities:

  • Communicate directly with patients and/or families to complete the registration process, collecting patient demographics, health information, and verifying insurance eligibility and benefits.
  • Utilize computer systems to enter and verify patient data in real-time, ensuring accuracy and completeness of information.
  • Gather necessary clinical information and process referrals, pre-certification, pre-determinations, and pre-authorizations according to insurance plan requirements.
  • Verify insurance coverage, benefits, and create price estimates, reverifications as needed.
  • Collect patient co-pays and conduct conversations with patients on their out-of-pocket financial obligations.
  • Identify outstanding balances from patient's previous visits and attempt 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.
  • Respond to patient and caregiver inquiries related to routine and sensitive topics in a compassionate and respectful manner.
  • Generate, review, and analyze patient data reports and follow up on issues and inconsistencies as necessary.
  • Maintain 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.

Requirements:

  • High School Diploma/GED (or higher)
  • 1+ years of customer service experience in a hospital, office setting, customer service setting, or phone support role
  • Ability to work onsite in a clinical environment
  • Ability to have flexibility to work varying shifts, including rotating weekends
  • Must be 18 years of age or older

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

Why Choose UnitedHealth Group?

UnitedHealth Group is a global organization that delivers care, aided by technology to help millions of people live healthier lives. We offer a comprehensive benefits package, 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.)

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