Healthcare Representative

Requisition Number: 2367531
This position is Field Based and requires regular travel to various locations as part of your daily responsibilities.
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.
This position is full time (40 hours / week) Saturday - Wednesday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 4:30 pm. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.
Primary Responsibilities:

• Travel between healthcare facilities with the Pittsburgh and suburb areas
• 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
• 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), HIPAA, 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
• Must have a valid driver's license
• Must be 18 years of age OR older
• 6+ months of healthcare customer service experience
• Experience with Microsoft Office products
• Ability to work on site at Forbes Hospital 2570 Haymaker Rd Suite 0, Monroeville, PA 15146
• Ability to travel up to 75%, two days a week to local healthcare
• Ability to work full time (40 hours / week) Saturday - Wednesday, 8-hour shift schedule during our normal business hours of 8:00 am - 4:30 pm. It may be necessary, given the business need, to work occasional overtime and weekends.

Preferred Qualifications:

• 1+ years of Customer Service experience within a hospital OR facility
• Knowledge of medical terminology
• Experience communicating with patients & staff with various educational & socio-economic backgrounds
• Bilingual fluency in English and Spanish
• Knowledge of federal and state programs that will benefit coverage for clients

Soft Skills:

• Excellent organizational skills
• Strong communication skills

Physical and Work Environment:

• General office demands
• Prolonged periods of standing and walking in hospital facilities

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 $16.15 - $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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