Per Diem Patient Access Representative
1 week ago
Job Summary:
Optum is seeking a Per Diem Patient Access Representative to provide patient-oriented service in a clinical or front office setting. As a key member of our team, you will be responsible for performing a variety of clerical and administrative duties related to the delivery of patient care.
Key Responsibilities:
- Communicate directly with patients and/or families to complete the registration process, collecting patient demographics, health information, and verifying insurance eligibility/benefits.
- Utilize computer systems to enter access or 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 as appropriate 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.
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 location
- 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
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