Patient Care Representative (SSM) - Day Shift - Waupun, WI

Company: UnitedHealth Group
Location: Oshkosh
Posted on: March 19, 2023

Job Description:

$3,000 Sign On Bonus For External Candidates

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.

Responsible for providing patient-oriented service in a clinical or front office setting; 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.

This position is part-time (20 hours per week) Monday - Sunday. Employees are required to have flexibility to work 6:00am-2:30pm or 9:30am-6:00pm shift. The employee will also be required to work every 4th weekend from 6:00am-2:30pm and holiday rotation. It may be necessary, given the business need, to work occasional overtime. Our office is located at 620 W Brown St, Waupun WI 53963.

Primary Responsibilities:

--- Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
--- Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
--- Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements
--- Verifies insurance coverage, benefits and creates price estimates, reverifications as needed
--- Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
--- Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
--- Responsible for collecting data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
--- Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
--- Generates, reviews and analyzes patient data reports and follows up on issues and inconsistencies as necessary
--- Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units.

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) OR equivalent experience
--- 1+ years of Customer Service experience such as hospital, office setting, customer service setting, or phone support
--- 1+ years of computer experience
--- Ability to work out of 620 W Brown St, Waupun WI 53963 location
--- Ability to work 20 hours per week - 6:00am-2:30pm or 9:30am-6:00pm shift, every 4th weekend and holiday rotation of 6:00am-2:00pm. May take additional shifts if available.
--- Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

--- Experience with Microsoft Office products
--- Experience in a Hospital Patient Registration Department, Physician office or any medical setting
--- Working knowledge of medical terminology
--- Understanding of insurance policies and procedures
--- Experience in insurance reimbursement and financial verification
--- Ability to perform basic mathematics for financial payments
--- Experience in requesting and processing financial payments

Soft Skills:

--- Strong interpersonal, communication and customer service skills

Physical and Work Environment:

--- Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies required all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

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

**PLEASE NOTE** The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

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 #RED

Keywords: UnitedHealth Group, Oshkosh , Patient Care Representative (SSM) - Day Shift - Waupun, WI, Other , Oshkosh, Wisconsin