Patient Service Specialist

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.   Join us to start  Caring. Connecting. Growing together.

General Surgery, General Vascular, Urology, Plastic Surgery  has an immediate opening for a friendly, patient focused and detailed oriented  Patient Service Specialist  join our team. The  Patient Service Specialist  is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals.

Working Hours :   Monday through Friday a 38.75-hour work week between the hours of 8 : 30 am to 5 : 00 pm.  The manager will decide schedule upon hire.

Location :   123 Summer Street, Suite 210 South, Worcester, MA

Primary Responsibilities :

• Obtain accurate and updated patient information, such as name, address, insurance information
• Perform insurance verification on the date of service
• Obtain patient signatures for required documents
• Upload a valid Government issued state ID of patient and patient insurance cards
• File and maintain medical records
• Consistently correct registration work queue errors
• Confirms and schedule appointments
• Answer telephone calls promptly and courteously
• Perform referral documentation promptly
• Working daily in the claims edit work queue to correct registration errors for submission to insurance companies
• Adhere to the standards identified via Sparq regarding Optum Employee Policies
• Work cohesively with fellow employees to achieve specific team goals
• Keep abreast of current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements
• Comfortable working in high pace environment
• Provide effective communication to patient / family team members and other health care professionals as evidenced by documentation, case conferences, communication notes, and evaluations
• Notify clinical staff of schedule changes as they occur
• Comply with administrative policies to ensure quality of care
• Demonstrate precision and efficiency in scanning documents and monitoring the fax server, retrieving and / or scanning documents and assigning to the appropriate electronic chart
• Participate in orientation (scheduling segment) of new field employees and distribute updates and changes as needed
• Perform other related duties and assignments as required
• Complete new clinical competencies rolled out by the Educational Committee
• Collect co-payments, co-insurance and deductibles and issues receipts
• Manage cashier box and daily deposits according to company policies
• Process walk-in patients and visitors
• Assist coworkers as needed to ensure smooth office operation and delivery of excellent service through teamwork
• Demonstrate respect for patients and Reliant staff by presenting a friendly, courteous manner always and maintaining patient confidentiality
• Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group?  Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include :

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications :

Preferred Qualifications :

Soft Skills :

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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