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Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing
your life's best work. SM Imagine yourself in a new a career with Optum360. As part of the UnitedHealth Group family of businesses, we're a dynamic new partnership formed by Dignity Health and Optum. We'll count on your professionalism, expertise, and dedication help ensure that our patients receive the quality of care they need. So, if you're looking for a place to use your passion, your ideas and your desire to drive change, this is the opportunity for you. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8 hour rotating shift schedules during our normal business hours of (6:00am - 11:00pm). It may be necessary, given the business need, to work occasional overtime. This position will be supporting the Westmoreland ER in Greenburg, PA located at 532 W. Pittsburgh St. Greensburg, PA. Primary Responsibilities:- Check in patients, schedule appointments and answer billing questions
- Register patients and verify their insurance information
- Work collaboratively with Nursing, Physicians, Case Managers, and patient families
- Manage patient medical records
- The pace is fast, so your ability to multi-task is essential. You should also enjoy working with people and have the communication skills necessary to build strong relationships with our customers.
- Regular, consistent, on - site, and timely attendance
- Schedules patient appointments for designated departments
- Schedules appointments utilizing scheduling software tools
- Provides testing instructions to assure smooth services
- Secures authorization and referral if applicable
- Customer Focus. Assesses customers' needs and considers customer in all decision - making processes to ensure a positive customer experience
- Greets the customer in a polite and professional manner whether face - to - face or on the phone, determines needs and responds appropriately and courteously
- Responds to customer issues (intra - departmental, inter - departmental, and public) timely and to the satisfaction of the customer
- Identifies and performs appropriate action in situations where it is necessary to obtain appropriate documentation for proper advancement through the revenue cycle
- Communication. Provides constructive feedback and clearly expresses ideas
- Interviews patients and / or their representatives in order to obtain accurate demographic, insurance, and claim adjudication information in a timely, courteous, professional manner
- Updates system appropriately and accurately, ensuring appropriate signatures are obtained and required authorizations / certifications / medical necessity guidelines are met
- Communicates with management all issues that impact the accurate, timely and complete accomplishment of all assigned tasks
- Identifies and communicates to management recommendations for process improvement
- Displays dignity and respect in all interactions
- Initiative. Readily accepts and incorporates changes into daily activities
- Conforms 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 workflows
- Follows all department processes and policies as required and updated
- Motivation and Influencing. Influences and persuades others to build commitment to quality and a positive hospital experience
- Acts as a role model for peers by striving for excellence, displaying a positive attitude, and actively supporting the team concept
- Monitors and reports 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
- Volunteers to work additional hours or offers to contribute to on - going projects / assignments outside the scope of their own specific function
- Fiscal Accountability. Holds self - accountable for departmental processes in order to obtain maximum reimbursement for services and the successful flow of the revenue cycle
- Assures proper identification of patients presenting for services following the proper departmental procedures
- Maintains 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.
- Investigates and identifies patient - responsibility dollar amounts in order to successfully collect point - of - service payments when appropriate
- Charges posting where applicable when staff is not available timely
- High School Diploma / GED (or higher)
- Ability to work any of our 8-hour shifts during normal business hours of 6:00am - 11:00pm EST, Monday - Friday including the flexibility to work on a rotating shift, holiday rotation, daylight on weekends
- You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
- Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.
- 1+ years of admissions, scheduling, or business office experience
- Experience with Medical Terminology
- Basic Math and Keyboard Proficiency measured at 30+ wpm
- Knowledge of Payor / Insurance Benefits
Vacancy expired!