Patient Service Specialist

Overview

REMOTE in MA. Optum 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. Cardiology has an immediate opening for a friendly, patient focused and detail oriented Patient Service Specialist to join our team.

Schedule:

This position is full-time (40 hours/week), Monday - Friday. Flexibility to work on any 8-hour shift during our normal business hours (8:00 AM – 5:00 PM) is required. Occasional overtime may be necessary. This role is Remote in Worcester, MA. If you are located within a commutable distance to a Reliant office nearest to you in MA or surrounding locations, you will have the flexibility to work remotely as you take on some tough challenges.

• Verifies, re-verifies and authorizes patient insurance coverage and eligibility using computer-based patient registration/scheduling systems
• Verifies and updates demographic, insurance and other patient information
• Confirms, collects, and posts patient co-payments and other outstanding balances
• Addresses patient-care related telephone calls via an incoming work queue in alignment with department metrics
• Identifies priority issues and responds to urgent needs by contacting/interrupting physician/provider within guidelines
• Provides patient education regarding managed care plans and referral processes
• Completes and maintains patient schedules; schedules and coordinates patient visits and medical procedures for both inpatients and outpatients; communicates information related to scheduled appointments
• Notifies providers, patients and others of changes such as new scheduling, re-scheduling, no-shows, emergency appointments and add-ons
• Performs other duties as assigned

• High School Diploma/GED (or higher)
• 1+ years of customer service experience in a clinical setting
• 1+ years of Electronic Medical Record (EMR) experience
• Ability to work full time (40 hours/week), Monday - Friday, with flexibility to work any 8-hour shift within 8:00 AM – 5:00 PM; occasional overtime may be necessary
• Must live within a commutable distance to a Reliant location nearest to Worcester, MA
• Must be 18 years of age or older

• Beginner proficiency with Microsoft Word, Excel, Outlook, etc.
• Previous call center experience
• EPIC experience

• Reside within commutable distance to the nearest Reliant location
• Maintain security of company sensitive documents (if applicable)
• Have a dedicated work area that provides information privacy
• Live in a location with access to United Health Group approved high-speed internet

• Ability to work independently with good judgment and accountability
• Ability to work well with health care providers
• Strong organizational and time management skills; able to prioritize to meet deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills
• Adherence to United Health Group Telecommuter Policy

Pay is based on factors including location, experience, and qualifications. The hourly pay for this role ranges from $17.98 to $32.12 per hour (full-time). Benefits include a comprehensive package; details subject to eligibility requirements.

United Health Group is an Equal Employment Opportunity employer. We comply with applicable laws and maintain a drug-free workplace; candidates may be required to pass a drug test before employment. This description may contain standard policy statements and notices as required by law.