Patient Access Representative
3 weeks ago
At Optum, we are committed to delivering care that addresses health disparities and improves health outcomes. As a Patient Access Representative, you will play a critical role in providing patient-oriented service in a clinical or front office setting.
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-authorizes 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 caregivers' inquiries related to routine and sensitive topics, always in a compassionate and respectful manner.
- Generate, review, and analyze patient data reports and follow up on issues and inconsistencies as necessary.
What We Offer:
- Competitive base pay
- A full and comprehensive benefit program
- Performance rewards
- A management team who demonstrates their commitment to your success
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 100% onsite at our office
- Ability to work the role's schedule of Sunday, Monday, Tuesday 6pm-6am, Wednesday 6pm-12am
- Ability to work a flexible 1st shift schedule during the initial training period
- Must be 18 years or older
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