Patient Access Representative I

Company: UnitedHealth Group
Location: Jefferson City
Posted on: May 14, 2022

Job Description:

$2000 Sign On Bonus For External Candidates

Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work. SM

This position is full - time. Employees are required to work any shift including the flexibility to work occasional overtime and weekends based on business need. Our office is located at 2505 MISSION DRIVE, JEFERSON CITY, MO, 65109. We offer 3 weeks to 2 months of training.

Primary Responsibilities:

• Understands, embraces, and models the SSMHC exceptional service standards
• Responsible for identifying when the need for an interpreter exists and coordinating the service with the translation vendor and the ancillary department
• Activate patients in the patient management system upon arrival on the date of service and assist patients and customers in navigating throughout the hospital facility
• Perform real - time registration and insurance eligibility for unscheduled visits, including emergency department patients
• Obtain and enter demographic and other financial and clinical information necessary for financial clearance of scheduled / unscheduled accounts
• Ensure all required data elements are collected and validated for account creation in patient business cycle systems
• Perform insurance eligibility and follow - up with patient and / or referring physician office in the event of failed eligibility
• Daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate
• Maintain appropriate records, files and timely and accurate documentation in the patient business cycle systems
• Obtain all necessary patient signatures at time of arrival
• Disseminate regulatory documents / forms to patients appropriately
• Responsible for being able to assist patients in understanding registration forms, including but not limited to, Medicare Secondary Payor Questionnaires, Important Message from Medicare forms, Patient Rights & Responsibilities, Consent of Admission forms, and Advance Beneficiary Notices
• Ensures that all necessary documents including consents, insurance card copies, photo IDs, and other documents as deemed necessary are scanned into the patient business cycle system
• Collect remaining patient liability responsibilities that were identified during financial clearance
• Ensuring that there is a complete physician order in place at the time of service
• Responsible for identifying when a new provider needs to be added to the patient management system
• Responsible for identifying when there are potential identity red flags and communicating as appropriate
• Responsible for identifying potential patient overlays and either correcting when applicable or communicating as appropriate for resolution
• Responsible for understanding eligibility responses from payors to assist patients in understanding their insurance benefits, copay, deductible, and coinsurance
• Ensure that financially cleared patients go directly to the area of service in order to receive treatment, when applicable
• Coordinate with bed placement and ensure appropriate patient type and status changes are performed in a timely manner
• Assist patients with onsite customer service functions (e.g., billing, medical record, and collection inquiries) by coordinating with other patient business services functions and departments
• Perform collections and cashiering functions and refer patients to Financial Counseling where appropriate
• Coordinate discharge processing with financial counseling, Case Management, and Clinicians You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
  
  Required Qualifications:
  • High School Diploma / GED (or higher)
  • Ability to work any shift including the flexibility to work occasional overtime and weekends based on business need
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Qualifications:
    • Knowledge of medical terminology
    • Clear understanding of the impact registration / arrival services has on patient business services operations and financial performance Soft Skills:
      • Ability and desire to integrate CQI principles and tools into work process
      • Ability to set measure and consistently achieve goals within established timelines
      • Ability to establish and maintain effective, collegial, and professional relationships with peers, staff, and other regular contacts
      • Exceptional customer service skills and phone etiquette
      • Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality
      • The ability to passionately model the basic values of the mission, vision, and values of SSM
      • The ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment
      • He ability to prioritize and effectively anticipate and respond to issues as they arise
      • Ability to communicate and follow up
      • Verbal and written skills Physical and Work Environment:
        • Frequent lifting / carrying and pushing/pulling objects weighing 0 - 25 lbs.
        • Frequent sitting, standing, walking, reaching and repetitive foot / leg and hand / arm movements
        • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors
        • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
        • Frequent keyboard use / data entry
        • Occasional bending, stooping, kneeling, squatting, twisting and gripping
        • Occasional lifting / carrying and pushing / pulling objects weighing 25 - 50 lbs.
        • Rare climbing UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
          
          Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at
          
          Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible.
          
          Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work. SM
          
          **PLEASE NOTE** The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
          
          Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
          
          UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
          
          Keywords: ,
          

Keywords: UnitedHealth Group, Jefferson City , Patient Access Representative I , Other , Jefferson City, Missouri