Healthcare Representative Floater

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.

This position is full time Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:30 am - 5:00 pm, with ability to work 1-2 weekend shifts per month. It may be necessary, given the business need, to work occasional overtime. 

This will be on the job training, and the training hours will be during normal business hours.

   

Primary Responsibilities:

• Travel within assigned hospitals and affiliated locations to collect required patient verification documents, including identification, insurance information, proof of income, and residency documentation.
• Meet with patients and/or family members to explain documentation requirements and assist with completion as needed
• 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
• Other duties as assigned

   

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.

%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cstrong%3ERequired Qualifications:%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EHigh School Diploma / GED OR equivalent experience%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EMust be 18 years of age OR older%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E1+ years of customer service experience%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExperience working in a group OR office space setting%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExperience with Microsoft Office products%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EMust have reliable form of transportation and valid Driver’s license%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EMust reside within 30 miles of Burlington, MA.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EWilling to travel 75% of the time locally within the greater Boston area and New Hampshire%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAbility to work full time Monday - Friday, with the flexibility to work any of our shift schedules during our normal business hours of 8:30 am - 5:00 pm, with ability to work 1-2 weekend shifts per month. It may be necessary, given the business need, to work occasional overtime.%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%26nbsp; %26nbsp;%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cstrong%3EPreferred Qualifications:%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E1+ years of Customer Service experience within a hospital OR healthcare environment%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EKnowledge of federal and state programs that will benefit coverage for clients%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EKnowledge of medical terminology%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExperience communicating with patients %26amp; staff with various educational %26amp; socio-economic backgrounds%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EBilingual fluency in English and Spanish%26nbsp;%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEPIC experience %26nbsp;%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%26nbsp; %26nbsp;%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cstrong%3ESoft Skills:%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExcellent organizational skills%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EStrong communication skills%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%26nbsp; %26nbsp;%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cstrong%3EPhysical and Work Environment:%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EGeneral office demands%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EProlonged periods of standing and walking in hospital facilities%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAdherence to facility masking requirements at all times%26nbsp;%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%26nbsp; %26nbsp;%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EPay 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 %2418 - %2432 per hour based on full-time employment. We comply with all minimum wage laws as applicable. %26nbsp;%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%26nbsp; %26nbsp;%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3EAt 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.%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%26nbsp; %26nbsp;%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%26nbsp; %26nbsp;%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3EUnitedHealth 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.%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%26nbsp; %26nbsp;%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3EUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%26nbsp; %26nbsp;%3C/i%3E%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E#RPO #RED%3C/span%3E%3C/p%3E

Job Details
Job: Clinical Admin & Processing
Primary Location: US-MA-Burlington
Organization: OptumInsight RCM Acute Front
Schedule: Full-time