Patient Access Representative - National Remote

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. 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 MPTL Representative employs excellent customer service skills and is responsible for delivering adequate facility patient bed management, maintaining responsive communication with all facility-based clinical team members, and payer sources. Ultimately, the MPTL Representative is responsible for all incoming patient orders (admits, transfers, discharges, etc.) while meeting critical performance standards.

The MPTL Representative provides timely, accurate, and complete capture of all patient demographics, electronic orders, and insurance information to ensure a clean claim and appropriate reimbursement for all services rendered.

This position is full-time. Employees are required to have flexibility to work any of our varied, holidays, weekends shifts (seniority-based shifts). It may be necessary, given the business need, to work occasional overtime.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Under the guidance and direction of the centralized patient access unit leadership and sensitive to the employee work-life balance, will work a predefined schedule to support the operational and facility-based needs of twenty-four (24) seven (7) days a week operation. Processing orders assigned to MPTL as patient accounts require admissions, transfers, and or discharges at the facility location. With the understanding of teamwork and support that may require modification to meet those needs
• Supports clinical bed management duties by ensuring system updates have been made in required IT systems for admits, transfers and discharges, meeting 5-minute performance standard
• Corrects registration edits and demographic updates as required when changing patient status
• Conducts Insurance Eligibility / Benefit Verification via web-based tools and as necessary by phone
• Supports registration activities by printing the required documentation (i.e., face sheets, patient armbands, etc.), coordinating production with the facility caring for the patient
• Provides fax, phone, or electronic notification to payers of patient admissions and upgrades
• Identifies issues in need of escalation to corporate Financial Clearance staff and facility financial specialists (i.e., Financial Clearance and Financial Counseling staff)
• Maintains up-to-date knowledge of specific registration requirements for all areas, including Inpatient and Outpatient Registration Services
• Ensures complete, accurate, and timely entry of demographic information into the ADT system at the time of registration
• Communicates with the facility or providers when necessary to clarify or obtain additional patient information
• When necessary, escalates accounts to appropriate facility Patient Registration leadership staff
• Complies with HIPAA, PHI, and its implications, ABN, MSP, EMTALA, etc. and other regulations which affect the registration process

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 higher)
• 6+ months of experience verifying medical insurance
• 6+ months of patient access (patient registration) experience working within a hospital, physician office, healthcare insurance company or other healthcare revenue cycle-related setting
• Ability to navigate a PC (open applications, send/receive emails, conduct data entry, etc.) ability to create, edit, save, and send documents utilizing Microsoft Office (Outlook, Word, Excel, etc.)
• Ability to work any of our varied, holidays, weekends shifts (seniority-based shifts). It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• 6+ months of exceptional problem-solving experience within a healthcare facility or health insurance setting
• Working knowledge of medical terminology

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The salary range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.