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 coordinates the provision of multiple services to patients performing a full range of administrative support services for clinic/site including collection of co-payments, registration and scheduling of patients for medical procedures, tests, associated ancillary services and other related duties. Ensures the highest level of patient/customer satisfaction.

This position verifies, re-verifies and authorizes patient insurance coverage and eligibility utilizing computer-based patient registration/scheduling system. Verifies and updates demographic, insurance, and other patient information. Confirms, collects, and posts patient co-payments and other outstanding balances. Generates and tracks patient encounter forms. Reviews patient encounter forms for completeness and resolves any discrepancies. Batches encounter forms and submit to appropriate billing area.

Location: Remote in Worcester, MA

Hours: Monday through Friday between the hours of 7am-6pm EST

If you reside near Worcester, MA, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Verifies, re-verifies and authorizes patient insurance coverage and eligibility utilizing computer-based patient registration/scheduling system. Verifies and updates demographic, insurance, and other patient information.

Identifies problem related priorities, and responds to emergency needs by contacting/interrupting physician/provider within guidelines

Updates and maintains EPIC in-basket messaging in computer system. Follows through on requests. Distributes messages to appropriate provider or others for appropriate action

Enters new referrals or ensures that existing referral numbers are linked in the system to ensure managed care requirements

Provides patient education regarding managed care plans and referral process. Answers patients’ referral questions, concerns, etc. Provides patient with available options

Completes and maintains patient schedules. Communicates with patients regarding all information related to scheduled appointments. Ensures all authorizations are completed in full

Notifies providers, patients and others of changes such as new scheduling, re-scheduling, no-show, emergency appointments and add-ons

Maintains recall lists and communicates with patients as appropriate

May inform nursing staff or others of laboratory and diagnostic study results; collects and mails test results

May process standard and non-standard business office administrative paperwork, such as purchase requisitions, employee time sheets, expense vouchers, etc. Follows-up with personnel outside the medical office to expedite timely action and alleviate, or report delays as appropriate

Provides guidance to departmental personnel in medical office on administrative policies and procedures

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)

1+ years of customer service experience

Preferred Qualifications:

1+ years of experience working in a healthcare setting

Strong communication and customer service skills both in person and via phone

Working knowledge of general office procedures

Basic knowledge of Microsoft applications

Bilingual English/Spanish

Medical office experience

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

The salary range for this role is $16.88 to $33.22 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.

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.

#RPO, #GREEN