Patient Access Representative

3 weeks ago


Tucson, Arizona, United States Optum Full time
Optum Patient Access Representative Job Description

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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