9 days old

Patient Service Representative - Full Time - Nursing Home - Lab Registration (Excela - Westmoreland) - Greensburg, PA

Greensburg, PA 15601
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Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. 


Who are we? Optum360. We're a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. 

If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.SM


The Patient Service Representative is responsible for coordinating and maintaining a positive customer experience while performing pre - registration, registration, scheduling, and business office functions. Must possess excellent customer service skills. Be able to interact in a friendly, professional manner with a wide range of patients, operations staff, physicians, and other departments within the Excela Health system. Attention to detail and the ability to work well under pressure is essential. Also must be able to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent.


Nursing home lab registration positions will work variable hours/days Monday through Saturday 7:00am - 7:00pm. This position will support the nursing home and courier lab registration process. This will be for the Westmoreland Hospital location located at 532 W Pittsburgh Street, Greensburg, PA 15601.


**This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease


Primary Responsibilities:

  • Schedule patient appointments for designated departments
  • Schedule appointments utilizing scheduling software tools
  • Provide testing instructions to assure smooth services
  • Secure authorization and referral if applicable
  • Customer Focus. Assess customers' needs and consider customer in all decision - making processes to ensure a positive customer experience
  • Greet the customer in a polite and professional manner whether face - to - face or on the phone, determine needs and respond appropriately and courteously
  • Respond to customer issues (intra - departmental, inter - departmental, and public) timely and to the satisfaction of the customer  
  • Identify and perform appropriate action in situations where it is necessary to obtain appropriate documentation for proper advancement through the revenue cycle
  • Communication. Provide constructive feedback and clearly express ideas
  • Interview patients and / or their representatives in order to obtain accurate demographic, insurance, and claim adjudication information in a timely, courteous, professional manner
  • Update system appropriately and accurately, ensuring appropriate signatures are obtained and required authorizations / certifications / medical necessity guidelines are met
  • Communicate with management all issues that impact the accurate, timely and complete accomplishment of all assigned tasks
  • Identify and communicate to management recommendations for process improvement
  • Display dignity and respect in all interactions
  • Initiative. Readily accepts and incorporates changes into daily activities
  • Conform 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 work flows
  • Follow all department processes and policies as required and updated
  • Motivation and Influencing. Influence and persuade others to build commitment to quality and a positive hospital experience
  • Act as a role model for peers by striving for excellence, displaying a positive attitude, and actively supporting the team concept
  • Monitor and report 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
  • Volunteer to work additional hours or offers to contribute to on - going projects / assignments outside the scope of their own specific functions
  • Fiscal Accountability. Hold self - accountable for departmental processes in order to obtain maximum reimbursement for services and the successful flow of the revenue cycle
  • Assure proper identification of patients presenting for services following the proper departmental procedures
  • Maintain 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.
  • Charge posting where applicable when staff is not available timely
  • Investigate and identify patient - responsibility dollar amounts in order to successfully collect point - of - service payments when appropriate

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.

Posted: 2020-02-07 Expires: 2020-03-08

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Patient Service Representative - Full Time - Nursing Home - Lab Registration (Excela - Westmoreland) - Greensburg, PA

UnitedHealth Group
Greensburg, PA 15601

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