Patient Access Representative

Location: Cobleskill

$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTSOptum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Patient Access Representative welcomes, greets, interviews patients and/or representatives in person or over the telephone to ensure their initial experience with the hospital is exceptional. The Patient Access Representative will also obtain the required demographic and insurance information to ensure proper billing/reimbursement to the hospital. Secure required signatures from patients and/or representatives to protect hospital's interests. Provides excellent patient experience for guests with a high level of professionalism.

Location:

187 Grand View Dr., Cobleskill, NYWe offer 4-6 weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

Primary Responsibilities:

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits

Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information

Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements

Verifies insurance coverage, benefits, and creates price estimates, reverifications as needed

Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations

Identifies outstanding balances from patient's previous visits and attempts to collect any amount due Responsible for collecting data directly from patients and referring to provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge

Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner

Generates, reviews, and analyzes patient data reports and follows up on issues and inconsistencies as necessary

Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to:
Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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/GED1+ years of customer service experience

Ability to work onsite at our Cobleskill, NY facility

Ability to work from 8:00am - 4:30pm, Monday - Friday Access to reliable transportation and a valid US driver's license

Must be 18 years of age or older

Preferred Qualifications:

1+ years of experience in scheduling and authorizations

Healthcare experience and clinical knowledge

Ability to work night and weekend hours

Soft Skills:

Ability to engage and effectively communicate with individuals and groups of adults at all levels within the organization

Ability to build rapport quickly, develop trust, sustain working relationships, and represent CRH positively in internal and external meetings

Strong time-management and organizational skills Effective communication skills and interpersonal skills Basic keyboarding skills

Strong interpersonal, communication and customer service skills

Physical and Work Environment:

Standing for long periods of time (10 hours) while using a workstation on wheels and phone/headset   
** PLEASE NOTE
** The sign-on bonus is only available to external candidates.  Candidates who are currently working for United Health Group, United Healthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.  Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time…