Patient Access Representative (Ssm) - National Remote

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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.

This position is full - time. Employees are required to work any shift between the hours of 7:00 AM - 5:30 PM CST (Central Standard Time) including the flexibility to work occasional overtime and weekends based on business need.

We offer on the job training. The hours during training will be 8:30 AM - 4:30 PM from Monday - Friday (Candidate will have the option to do this from home via Microsoft Teams). Training will be conducted virtually from your home.

• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
• Maintains up - to - date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, and ED Registration units
• Responsible for providing patient - oriented service in a clinical or front office setting
• Collects patient co - pays as appropriate and conducts conversations with patients on their out - of - pocket financial obligations
• Verifying insurance eligibility and benefits
• Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
• Performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting and checking in patients, answering phones, collecting patient co - pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast - paced, customer - oriented clinical environment
• Responsible for collecting data directly from patients and referring provider offices to confirm for scheduled appointments for patient services prior to hospital discharge
• Gathers necessary clinical information and secure referrals pre - certification, pre - determinations, and pre - authorizes according to insurance plan requirements
• Verifies insurance coverage, benefits, and creates price estimates, reverifications as needed

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:

• Ability to train between the hours of 8:30 AM - 4:30 PM from Monday - Friday and then on the job training (Candidate will have the option to do this from home via Microsoft Teams)
• 1+ years of Customer Service experience in a hospital, office setting, customer service setting, OR phone support role
• High School Diploma / GED (or higher) OR equivalent experience
• Ability to work any shift between the hours of 7:00 AM - 5:30 PM CST (Central Standard Time) including the flexibility to work occasional overtime and weekends based on business need

Preferred Qualifications:

• Understanding of insurance policies and procedures
• Experience in insurance reimbursement and financial verification
• Experience with using Microsoft Office products
• Working knowledge of medical terminology
• Experience in a Hospital Patient Registration Department, Physician’s Office, OR any medical setting
• Ability to perform basic mathematics for financial payments

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Physical and Work Environment:
• Standing for long periods of time (10 - 12 hours) while using a workstation on wheels and phone / headset
• Strong interpersonal, communication, and customer service skills

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / New Jersey / New York / Washington / Rhode Island residents is $16.00 - $27.31. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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.

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