23 days old

Patient Service Representative - Per Diem (Excela) - Remote in Greensburg, PA - 892805

Greensburg, PA 15601 Work Remotely
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  • Job Code
    892805

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 ofUnitedHealth 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 doyour life's best work.SM

ThePatient Service Representativeis 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.

This position requires a Pre - Employment Health Screening upon acceptance of any offer. 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.


This is a per-diem position (18+ hours/week). Employees are required to have flexibility to work any of our shift schedules and must be available to work Monday - Sunday between 8:00am - 8:00pm EST.


If you are located in the Greensburg, PA area, you will have the flexibility to telecommute* as you take on some tough challenges.Training will be conducted virtually from your home.


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


What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/

Primary Responsibilities:

  • 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 work flows
  • 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 functions
  • 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.

RequiredQualifications:

  • High School Diploma / GED (or higher)
  • Ability towork a maximum 18 hours per week Monday- Sunday between 8am-8pm EST
  • You will be required to adhere to UnitedHealth Group's US Telecommuting Policy
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • 1+ years of admissions, scheduling, or business office experience
  • Knowledge of Medical Terminology
  • Proficient Keyboard Skills measured at 30+ wpm
  • Basic working knowledge of computers and office equipment
  • Basic Math and Keyboard Proficiency
  • Knowledge of Payor / Insurance Benefits

Soft Skills:

  • Excellent communication, interpersonal and organizational skills
  • Ability to communicate with all members of the health care team
  • Proficient oral and written communication skills
  • Ability to multi - task and prioritize assignments

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.

Some of the steps we've taken to ensure employee well-being include:

  • Transitioned our new hire training classes to be conducted virtually

  • Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19

  • Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time

  • Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices

  • Fully cover the COVID-19 healthcare costs for our employees

  • Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home

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 doyour 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 Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: patient services, ED, scheduling, insurance eligibility verification, Medicare, charge posting,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately

Posted: 2020-11-04 Expires: 2020-12-26

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 - Per Diem (Excela) - Remote in Greensburg, PA - 892805

UnitedHealth Group
Greensburg, PA 15601

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