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Patient Access Representative I - SLU Hospital - St. Louis, MO

Company: UnitedHealth Group
Location: Saint Louis
Posted on: November 25, 2022

Job Description:

$2,000 Sign On Bonus For External CandidatesCombine 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 health care 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.SMThe Patient Services Representative functions as an integral member of the team and is the first point of contact for all people inquiring about the provider's practice. - The primary role is to organize the practice's daily activities and paperwork.Primary Responsibilities:

  • Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting.
  • Obtains referral, authorization and pre-certification information and documents this information in system.
  • Identifies outstanding balances from patient's previous visits and attempts to collect any amount due. -
  • Trains staff on computer systems, new processes, payer updates and assigned reporting
  • Functions as a Superuser for primary computer systems
  • Proactively identifies and leads department process improvement opportunities
  • Works on Special Projects as needed
  • Performs the duties of a Patient Access Representative
  • Maintains up-to-date knowledge of specific admission, registration, and pre-registration requirements for all areasYou'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 work experience
    • 1+ years of electronic health record experience
    • 2+ years of Customer Service experience such as hospital, office setting, customer service setting, or phone support
    • 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 accommodationPreferred Qualifications:
      • 1+ year of experience with prior authorizations
      • 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 paymentsUnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at Learn how Teresa, a Senior Quality Analyst, -works with -military veterans and ensures they receive the best benefits and experience possible. -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.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, St. Louis , Patient Access Representative I - SLU Hospital - St. Louis, MO, Healthcare , Saint Louis, Missouri

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