Job Details

ID #15431148
State Pennsylvania
City Greensburg
Job type Permanent
Salary USD TBD TBD
Source UnitedHealth Group
Showed 2021-06-14
Date 2021-06-13
Deadline 2021-08-12
Category Et cetera
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Patient Services Representative (Excela) - Westmoreland, PA

Pennsylvania, Greensburg, 15601 Greensburg USA

Vacancy expired!

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
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)
  • 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.
Preferred Qualifications:
  • 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
UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work. SM 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. Keywords: patient services, scheduling, insurance eligibility verification, Medicare, charge posting, hiring immediately, #RPO

Vacancy expired!

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