UnitedHealth Group Patient Services Representative - (Part Time) - Corporate Service Center - Greensburg, PA in Greensburg, Pennsylvania
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All of us have a short list of the things that makea job great. If your list includes being able to make a difference, count us inas your next place to work. UnitedHealth Group is a Fortune 6 leader in healthcare at a time when health care is evolving for everyone. Our billing teams arepart of an important chain of events that impact the lives of our members inpositive ways. Join this group and we’ll have an impact on you. Apply now anddiscover the exceptional training, support and opportunities to grow that you’dexpect from a Fortune 5 leader.
What makes this a special challenge? For one, wewant to create a quality experience for every person we serve. So the bar ishigh for accuracy, communications style and effectiveness. Also, you’ll need tobe researching and resolving problems before, during and after calls within ahigh volume, demanding environment.
The Patient Service Representative is responsiblefor coordinating and maintaining a positive customer experience whileperforming pre - registration, registration, scheduling, and business officefunctions. Must possess excellent customer service skills. Be able to interactin a friendly, professional manner with a wide range of patients, operationsstaff, physicians, and other departments within the Excela Health system.Attention to detail and the ability to work well under pressure is essential.Also must be able to function effectively in an environment where it isnecessary to perform several tasks simultaneously, and where interruptions arefrequent.
Position is at Corporate Service Center CentralScheduling - 134 Industrial Park Road, Greensburg PA 15601
Part Time (20 hrs) – Mon- Fri (8 hr shifts) betweenthe hours of operation of 6am - 6pm. Monday and Friday preferred. Occasional Saturday and Holiday included.
This position requires a Pre-Employment HealthScreening upon acceptance of any offer. Tuberculosis screening as well as proofof immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, andPertussis through lab confirmation of immunity, documented evidence ofvaccination, or a doctor’s diagnosis of disease
Regular, consistent, on - site, and timely attendance
Schedule patient appointments for designated departments
Schedule appointments utilizing scheduling software tools
Provide testing instructions to assure smooth services
Secure authorization and referral if applicable
Customer Focus. Assess customers' needs and consider customer in all decision - making processes to ensure a positive customer experience
Greet the customer in a polite and professional manner whether face - to - face or on the phone, determine needs and respond appropriately and courteously
Respond to customer issues (intra - departmental, inter - departmental, and public) timely and to the satisfaction of the customer
Identify and perform appropriate action in situations where it is necessary to obtain appropriate documentation for proper advancement through the revenue cycle
Communication. Provide constructive feedback and clearly express ideas
Interview patients and / or their representatives in order to obtain accurate demographic, insurance, and claim adjudication information in a timely, courteous, professional manner
Update system appropriately and accurately, ensuring appropriate signatures are obtained and required authorizations / certifications / medical necessity guidelines are met
Communicate with management all issues that impact the accurate, timely and complete accomplishment of all assigned tasks
Identify and communicate to management recommendations for process improvement
Display dignity and respect in all interactions
Initiative. Readily accepts and incorporates changes into daily activities.
Conform consistently to all system changes; including insurance payer regulations.
Possess functional knowledge of systems and the revenue cycle in order to adequately assist customers and reduce the unnecessary transfer of work flows
Follow all department processes and policies as required and updated
Motivation and Influencing. Influence and persuade others to build commitment to quality and a positive hospital experience
Act as a role model for peers by striving for excellence, displaying a positive attitude, and actively supporting the team concept
Monitor and report on individual productivity to assist in the evaluation of one's ability to organize and plan daily work in order to meet outcome - based criteria set by management
Volunteer to work additional hours or offers to contribute to on - going projects / assignments outside the scope of their own specific functions
Fiscal Accountability. Hold self - accountable for departmental processes in order to obtain maximum reimbursement for services and the successful flow of the revenue cycle.
Assure proper identification of patients presenting for services following the proper departmental procedures
Maintain accuracy of insurance coverage and guidelines including not but limited to verifying coverage through online eligibility software/ insurance web - sites / customer service phone lines; completing Medicare Secondary Questionnaire when required; verifying medical necessity and ABN processes; determining if necessary authorizations or referrals have been obtained; ensuring each order meets current published standards; etc.
Investigate and identify patient - responsibility dollar amounts in order to successfully collect point - of - service payments when appropriate
Charge posting where applicable when staff is not available timely
High School Diploma / GED or higher
Knowledge of Payor / Insurance benefits
Ability to work Part Time (20 hrs) - 8 hr shifts, Monday - Friday between the hours of operation of 6am - 6pm. Mondays and Fridays are preferred. Occasional Saturday and Holiday included
1+ years of admissions, scheduling, or business office experience
Proficient Keyboard Skills measured at 30 wpm
Basic working knowledge of computers and office equipment
Basic Math and Keyboard Proficiency
Excellent communication, interpersonal and organizational skills
Ability to communicate with all members of the health care team
Proficient oral and written communication skills
Ability to multi - task and prioritize assignments
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Diversity creates a healthier atmosphere:UnitedHealth Group is an Equal Employment Opportunity / Affirmative Actionemployer and all qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sex, age, national origin, protectedveteran status, disability status, sexual orientation, gender identity orexpression, marital status, genetic information, or any other characteristicprotected by law.
UnitedHealth Group is a drug - free workplace.Candidates are required to pass a drug test before beginning employment.
Keywords patient services, Outpatient, scheduling,insurance eligibility verification, Medicare, charge posting
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