Patient Service Specialist II
Company: UnitedHealth Group
Location: Leominster
Posted on: January 20, 2023
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Job Description:
*** $1,000 Sign-On Bonus for External Hires *** Opportunities
with Reliant Medical Group. When you join Reliant, you'll be part
of a community-based, multi-specialty, physician-led medical group.
Everyone works collaboratively on a common purpose: improving the
quality, cost and experience of health care. With the resources of
a global health organization - Optum - behind us, we're at the
forefront of value-based care. Supported by a patient-centric
business model - integrated care teams focus on the best patient
care, rather than volume. Here, you'll contribute to an exceptional
patient experience. Discover a place where you can help shape the
future of health care and do your life's best work.(sm) Hours:
First Shift, Monday - Friday - 38.75 hours per week Location: 225
New Lancaster Rd, Leominster, MA 01453 - Multispecialty Location
Primary Responsibilities: Verifies, re-verifies and authorizes
patient insurance coverage and eligibility utilizing computer-based
patient registration/scheduling system Verifies and updates
demographic, insurance, and other patient information; Confirms,
collects, and posts patient co-payments and other outstanding
balances Generates and tracks patient encounter forms; Reviews
patient encounter forms for completeness and resolves any
discrepancies; Batches encounter forms and submit to appropriate
billing area Notifies providers, patients and others of changes
such as new scheduling, re-scheduling, no-show, emergency
appointments and add-ons Maintains recall lists and communicates
with patients as appropriate Receives and addresses patient-care
related telephone calls; Provides routine information on procedures
and standard policies, refers matters to appropriate person within
department/site Identifies problem related priorities and responds
to emergency needs by contacting/interrupting physician/provider
within guidelines Resolves patients' questions regarding clinic
schedules and billing concerns; handles requests for prescription
refills, reschedules appointments, etc. Documents appropriate
information in computer system; Prepares patient charts; Ensures
completeness by locating test results, reminding patients of
appointments, including appropriate forms, etc., for patient
appointments Updates and maintains Telephone Message System (TMS)
in computer system; Follows through on requests; Distributes
messages to appropriate provider or others for appropriate action
Enters new referrals or ensures that existing referral numbers are
linked in the system to ensure managed care requirements Provides
patient education regarding managed care plans and referral
process; Answers patients' referral questions, concerns, etc.;
Provides patient with available options Works collaboratively with
primary care practices, patients and specialty practices to process
outgoing referrals prior to scheduled visits; Follows up with
practices that do not issue a referral or obtain referral on a
timely basis Interfaces with staff, providers and patients
regarding denied referrals; Documents information and assists with
alternate plan of care, if needed Completes and maintains patient
schedules. Schedules and coordinates patient visits, medical
procedures for both inpatients and outpatients; Communicates with
patients regarding all information related to scheduled
appointments Provides guidance to departmental personnel in medical
office on administrative policies and procedures 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
education or equivalent experience Familiarity with various
software applications such as Microsoft Word, Outlook, Excel, etc.
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 accommodation Preferred
Qualifications: Additional specialized medical secretarial/medical
office training Unless certification, licensure or registration is
required, an equivalent combination of education and experience,
which provides proficiency in the areas of responsibility listed in
this description, may be substituted for the above requirements
Physical health sufficient to meet the ergonomic standards and
demands of the position Superior customer service skills including
the ability to multi-task and resolve patient concerns in a timely
manner Ability to think critically and exercise sound judgment
Excellent communication, interpersonal and organizational skills To
protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies require all employees to disclose COVID-19 vaccination
status prior to beginning employment. In addition, some roles and
locations require full COVID-19 vaccination, including boosters, as
an essential job function. UnitedHealth Group adheres to all
federal, state and local COVID-19 vaccination regulations as well
as all client COVID-19 vaccination requirements and will obtain the
necessary information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment Careers with Optum.
Here's the idea. We built an entire organization around one giant
objective; make health care work better for everyone. So when it
comes to how we use the world's large accumulation of
health-related information, or guide health and lifestyle choices
or manage pharmacy benefits for millions, our first goal is to leap
beyond the status quo and uncover new ways to serve. Optum, part of
the UnitedHealth Group family of businesses, brings together some
of the greatest minds and most advanced ideas on where health care
has to go in order to reach its fullest potential. For you, that
means working on high performance teams against sophisticated
challenges that matter. Optum, incredible ideas in one incredible
company and a singular opportunity to do your life's best work.(sm)
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.
Keywords: UnitedHealth Group, Leominster , Patient Service Specialist II, Other , Leominster, Massachusetts
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