Bilingual English​/Spanish OR Creole Healthcare Representative

Position: Bilingual English / Spanish OR Creole Healthcare Representative
** Requisition number:
** 2369681

** Job category:
** Medical & Clinical Operations

**$1,000 Sign-On Bonus for External Candidates*
* _This position is Onsite. Our office is located at Jackson Memorial Hospital, 1611 North West 12th Avenue, Miami, FL, 33136._

Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At United Health Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and  
** Spanish OR Creole** , we can show you how to put all of your skills, your passions and your energy to work in a fast- growing environment.

** Optum Insight
** is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives?

Join us to start  
** Caring. Connecting. Growing together.*
* As a  
** Healthcare Representative** , you will interview and advocate for patients and their families to obtain maximum benefit coverage in a hospital or healthcare setting.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work holidays and weekends.

We offer 8 weeks of on-the-job training. The hours of training will be aligned with your schedule during normal business hours.

*
* Primary Responsibilities:

*
* + Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage

+ Complete applications for state and federal programs (including Health Exchange / Marketplace programs)

+ Review medical records and take all necessary actions to expedite benefit approval

+ Adhere to company and legal standards regarding Protected Health Information (PHI), Personal Identifiable Information (PII) and Personnel Transaction Identifier (PTI)

+ Maintain ongoing communication with government agencies regarding the status of claims

+ Provide updates and assistance to hospital personnel and other Optum staff as needed

+ Maintain documentation of status of claims and client contract on Optum and / or hospital computer systems

+ Determine when to use a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records

+ Willing to work in a fast-paced hospital or healthcare environment

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 equivalent experience

+ Must be 18 years of age OR older

+ Bilingual fluency in English and Spanish OR Creole

+ Human services experience and / OR experience in speaking with patients or clinical staff

+

Experience with Microsoft Office products

+ Ability to work full time onsite at Jackson Memorial Hospital, 1611 North West 12th Avenue, Miami, FL, 33136

+ Ability to work any shift between the hours of 8:00 am - 5:00 pm from Monday - Friday, including the flexibility to work holidays and weekends as needed

+ Full Flu & COVID vaccination is an essential job function of this role. Candidates located in states that mandate Flu & COVID booster doses must also comply with those state requirements. United Health 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…