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Per Diem Patient Access Representative - Waterville, ME

Optum
401(k)
United States, Maine, Waterville
Jan 22, 2025

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.

Responsible for providing patient-oriented service in a clinical or front office setting; performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment.

This position is Per Diem - hours will vary - shifts between 6am-11pm EST. May include weekends and holidays. This is an onsite position located at Northern Light Inland Hospital 200 Kennedy Memorial Drive, Waterville, ME 04901

We offer 2-3 weeks of training. The hours during training will be 8am-4:30pm EST, Monday - Friday. Training will be conducted onsite.

Primary Responsibilities:



  • Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
  • Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
  • Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements
  • Verifies insurance coverage, benefits and creates price estimates, reverifications as needed
  • Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
  • Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
  • Responsible for collecting data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
  • Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
  • Generates, reviews and analyzes patient data reports and follows up on issues and inconsistencies as necessary
  • Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units
  • Cover the hospital switchboard as needed


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)
  • 1+ years of experience in a hospital, office setting, customer service setting, or phone support role
  • 1+ years of computer experience
  • Ability to work per diem which will include varying shifts between 6am-11pm EST any day of the week, including weekends and holidays
  • Must be 18 years of age OR older
  • Influenza vaccination for the current flu season (typically August-May) or commitment to receive the influenza vaccination when available for the upcoming flu season


Preferred Qualifications:



  • 1+ years of experience in requesting and processing financial payments
  • Experience with Microsoft Office products
  • Working knowledge of medical terminology
  • Understanding of insurance policies and procedures
  • Ability to perform basic mathematics for financial payments
  • Experience in insurance reimbursement and financial verification
  • Experience in a Hospital Patient Registration Department, Physician office or any medical setting


Soft Skills:



  • Strong interpersonal, communication and customer service skills



The salary range for this role is $16.00 to $28.85 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.

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.

#RPO #RED

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