Patient Access Representative

4 weeks ago

Oneonta NY USA, United States Optum Full time

Unlock Your Potential in Patient Access

At Optum, we're committed to delivering exceptional care and connecting people with the resources they need to thrive. As a Patient Access Representative, you'll play a vital role in ensuring our patients receive the best possible experience from the moment they step into our facilities.

Key Responsibilities:

  • Communicate effectively with patients and families to collect demographic and health information, verify insurance eligibility, and process registrations.
  • Utilize our advanced computer systems to enter and verify patient data in real-time, ensuring accuracy and completeness.
  • Gather necessary clinical information and process referrals, pre-certifications, 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 on out-of-pocket financial obligations.
  • Identify outstanding balances and attempt to collect amounts due.
  • Collect data from patients and referring provider offices to confirm and create scheduled appointments prior to hospital discharge.
  • Respond to patient inquiries related to routine and sensitive topics in a compassionate and respectful manner.
  • Generate, review, and analyze patient data reports, following up on issues and inconsistencies as necessary.

What We Offer:

  • A comprehensive benefits package, including medical, dental, and vision coverage.
  • A competitive salary and performance-based incentives.
  • Opportunities for career growth and professional development.
  • A supportive and inclusive work environment.

Requirements:

  • High school diploma or equivalent required.
  • 1+ years of customer service experience preferred.
  • Ability to work our overnight shift (11pm-7am) with rotating weekends.

Preferred Qualifications:

  • 1+ years of experience in scheduling and authorizations.
  • Healthcare experience and clinical knowledge.

Soft Skills:

  • Effective communication and interpersonal skills.
  • Strong time-management and organizational skills.
  • Ability to engage and build rapport with patients and colleagues.

Physical and Work Environment:

  • Standing for long periods while using a workstation and phone/headset.

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