Patient Service Specialist

4 weeks ago


Worcester, Massachusetts, United States Optum Full time

Optum Career Opportunity

We are seeking a detail-oriented and patient-focused Patient Service Specialist to join our team. As a key member of our care team, you will be responsible for completing set processes and protocols, working cooperatively with all members of the team to support the vision and mission of the organization, delivering excellent customer service, and adhering to Lean processes.

Key Responsibilities:

  • Obtain accurate and updated patient information, such as name, address, and insurance details.
  • Perform insurance verification on the date of service.
  • Obtain patient signatures for required documents.
  • Upload a valid Government-issued state ID and patient insurance cards.
  • File and maintain medical records.
  • Correct registration work queue errors.
  • Confirm and schedule appointments.
  • Answer incoming and outgoing telephone calls promptly and courteously.
  • Perform referral documentation promptly.
  • Work daily in the claims edit work queue to correct registration errors for submission to insurance companies.
  • Perform follow-up services for patients in a prompt and courteous manner.
  • Adhere to standards identified via Sparq regarding Optum Employee Policies.
  • Work cohesively with fellow employees to achieve specific team goals.
  • Keep abreast of current medical requirements relevant to the position, including maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements.

What We Offer:

  • Paid Time Off, 8 Paid Holidays, and a comprehensive benefit program.
  • Medical Plan options, Health Spending Account, and Health Savings Account.
  • Dental, Vision, Life, and AD&D Insurance, 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, and Voluntary Benefits.

Requirements:

  • High School Diploma/GED or higher.
  • 1+ year of customer service-related experience.
  • Access to reliable transportation.

Preferred Qualifications:

  • 1+ year of experience working in a medical front office position.
  • Knowledge of Epic EMR software.
  • Knowledge of medical terms.
  • 6+ months of experience working multiple phone lines.

Soft Skills:

  • Ability to work independently and maintain good judgment and accountability.
  • Demonstrated ability to work well with healthcare providers.
  • Strong organizational and time management skills.
  • Ability to prioritize tasks to meet all deadlines.
  • Ability to work well under pressure in a fast-paced environment.
  • Excellent verbal and written communication skills.


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