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UnitedHealth Group Patient Services Representative - (Part Time) - Corporate Service Center - Greensburg, PA in Greensburg, Pennsylvania

Combine two of the fastest - growing fields on theplanet with a culture of performance, collaboration and opportunity and this iswhat you get. Leading edge technology in an industry that's improving the livesof millions. Here, innovation isn't about another gadget, it's about makingHealthcare data available wherever and whenever people need it, safely andreliably. There's no room for error. Join us and start doing your life’s bestwork.SM

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

Primary Responsibilities:

  • 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

Required Qualifications:

  • 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

Preferred Qualifications:

  • Medical Terminology

  • 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

Soft Skills:

  • 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

Careers with OptumInsight. Information andtechnology have amazing power to transform the Healthcare industry and improvepeople's lives. This is where it's happening. This is where you'll help solvethe problems that have never been solved. We're freeing information so it canbe used safely and securely wherever it's needed. We're creating the very bestideas that can most easily be put into action to help our clients improve thequality of care and lower costs for millions. This is where the best and thebrightest work together to make positive change a reality. This is the place todo your life’s best work.SM

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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