Emergency Department Patient Access Coordinator
4 weeks ago
As a Patient Access Representative for Optum's Emergency Department, you will play a vital role in providing exceptional patient service in a fast-paced clinical environment. Your primary responsibilities will include greeting and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required. This is a part-time position, and you will be required to have flexibility to work any of our 8-hour shift schedules during our normal business hours, including rotating weekends.
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 as needed, collecting patient co-pays and conducting conversations on out-of-pocket financial obligations.
• Identify outstanding balances from patient's previous visits and attempt to collect any amount due.
• Collect 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, following up on issues and inconsistencies as necessary.
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 the Emergency Department at 140 Burwell Street, Little Falls, NY 13365
• Ability to have flexibility to work any of our 8-hour shift schedules during our normal business hours, 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
Work Environment:
• Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset
Why Choose Optum?
At Optum, we believe everyone deserves the opportunity to live their healthiest life. We offer a comprehensive benefits package, performance rewards, and a management team who demonstrates their commitment to your success. Our mission is to help people live healthier lives and make the health system work better for everyone.
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