Patient Access Representative - Pittsfield, ME

Performs insurance verification duties to financially clear the patient in advance of date of service
Verifies healthcare coverage and benefits for applicable services, working with the patient, provider, and payer to ensure accurate information and needs are met in advance of service
Ensures excellent customer service when assisting patients, providers, and other departments
Collects and updates patient demographic and insurance information, making changes as necessary to ensure accuracy with insurance benefits, referrals, and authorizations
Verifies precertification / authorizations for scheduled services utilizing internet sites, payer contacts, and software as appropriate
Assesses coverage and benefits, and accurately determines patient responsibility as applicable
Identifies self - pay patients and shares information with financial counseling for assistance with patient financial obligation and options
Partners closely with the clinical, office, billing, and registration teams and works to review authorizations timely, as applicable
Appropriately documents all conversations with insurance companies and health care facilities that pertain to the authorizations or payment of services
Escalates questions or concerns to leadership as needed
Maintains and exhibits a current knowledge of insurance plans, associated workflows and information, and the impact of this role within the revenue cycle
Remains aware of department productivity expectations, and other measurable performance data and meets / exceeds individual contributions to the team performance
Strives to maximize revenue and minimize bad debt
Maintains a safe environment complying with NLH policies and procedures; reports and directly addresses environmental hazards and violations of patient safety policy and / or protocol when involved or observed
May perform other duties upon request

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) -
6+ months of experience in an office setting, customer service setting (over the phone OR face to face), phone support role or call center environment -
Intermediate level of proficiency with Microsoft Office products
Influenza vaccination for the current flu season (typically August-May) or commitment to receive the influenza vaccination when available for the upcoming flu season

Preferred Qualifications:

1+ years of Patient Access experience in a hospital OR medical setting
Understanding of medical terminology
Working knowledge of insurance policies, procedures and patient care settings - -
Prior experience working an overnight schedule

-
**PLEASE NOTE** The sign-on bonus is only available to external candidates. - Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. -
-
The salary range for this role is $16.00 -to $28.85 -per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. -
-
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
-
-
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. -
-
UnitedHealth Group -is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
-
-
#RPO #RED

Didn't find what you're looking for? Search again!

I'm looking for

in category

Administration, Clerical Advertising Education / Teaching PR / Public Relations Engineering Human Resources Legal Executive Hospitality & Tourism IT / Software / Systems ALL

within

5 Miles of New England 10 Miles of New England 25 Miles of New England 50 Miles of New England 100 Miles of New England 250 Miles of New England

• Let Pittsfield recruiters find you. Post your resume for free!
• Get Pittsfield Other jobs via email.


• View more New England Other jobs