Healthcare Representative

Healthcare Representative

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 setting.

This position is full time, Sunday - Thursday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime and weekends.

This will be weeks of on-the-job training. The hours of training will be during normal business hours.

Primary Responsibilities:

• 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) 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 OR equivalent experience
• Must be 18 years of age OR older
• 1+ years of healthcare customer service experience
• Experience with Microsoft Office products
• Ability to work full time on site at Walnut Medical Center, 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598
• Ability to cover shifts at local facilities as needed to meet business needs
• Ability to work from home for the first 2 - 8 weeks, with possibly some time on-site, as needed. Position will transition to full time onsite after initial work from home period ends
• Ability to work full time, Sunday - Thursday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 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
• Bilingual fluency
• Knowledge of medical terminology
• Experience communicating with patients & staff with various educational & socio-economic backgrounds
• Knowledge of federal and state programs that will benefit coverage for clients

Soft Skills:

• Excellent organizational skills
• Strong communication skills

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 employment. We comply with all minimum wage laws as applicable.

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.