Job Description

$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start  Caring. Connecting. Growing together.  

The  Patient Access Representative welcomes, greets, interviews patients and/or representatives in person or over the telephone to ensure their initial experience with the hospital is exceptional. The Patient Access Representative will also obtain the required demographical and insurance information to ensure proper billing/reimbursement to the hospital. Secure required signatures from patients and/or representatives to protect hospital’s interests. Provides excellent patient experience for guests with a high level of professionalism.

This position is per diem. Employees are required to work our normal business hours with the potential to cover all shifts within a 24-hour day as needed. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at O'Connor hospital 460 Andes Road, Delhi, NY 13753. 

We offer 4-6 weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

Primary Responsibilities:

• Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
• Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
• Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements
• Verifies insurance coverage, benefits, and creates price estimates, reverifications as needed
• Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
• Identifies outstanding balances from patient’s previous visits and attempts 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
• Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
• Generates, reviews, and analyzes patient data reports and follows up on issues and inconsistencies as necessary
• Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units

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)
• 1+ years of customer service experience
• Ability to work per diem hours (generally 8-16 hours per week) with the potential to cover all shifts within a 24-hour day. It may be necessary, given the business need, to work occasional overtime or weekends
• Must be 18 years of age or older
• Access to reliable transportation & valid US driver's license

Preferred Qualifications:

• 1+ years of experience in scheduling and authorizations

Job Tags

Similar Jobs