4 days old

Patient Services Representative - Greensburg, PA

Greensburg, PA 15601
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  • Job Code
    872286

Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.SM  


All of us have a short list of the things that make a job great. If your list includes being able to make a difference, count us in as your next place to work. UnitedHealth Group is a Fortune 6 leader in health care at a time when health care is evolving for everyone. Our billing teams are part of an important chain of events that impact the lives of our members in positive ways. Join this group and we'll have an impact on you. Apply now and discover the exceptional training, support and opportunities to grow that you'd expect from a Fortune 6 leader.


What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you'll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.


The Patient Services Representative (Full Time) 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.


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. 


Full Time (40 hrs) - This position is FT, daylight hours, M-F primarily at Westmoreland Hospital. There is a clinic at Latrobe Hospital & if needed they would need to float there. Currently this is minimal but would need that flexibility. The Latrobe Clinic is open one day / week until 7:00pm . No weekends required.


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 customer 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. 
    • 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.
    • 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. Hold 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.
  • Charge 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.

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Posted: 2020-05-22 Expires: 2020-06-21

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 Services Representative - Greensburg, PA

UnitedHealth Group
Greensburg, PA 15601

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