Per Diem Patient Access Representative

1 week ago


Phoenix, Arizona, United States Optum Full time

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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