Healthcare Representative

Healthcare Representative at UnitedHealth Group

This position is Onsite. Our office is located at 43 New Scotland Ave, Albany, NY 12208, Albany Medical Center. 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: 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 customer service experience Experience working in a group OR office space setting Experience with Microsoft Office products Ability to work onsite at 43 New Scotland Ave, Albany, NY 12208, Albany Medical Center Ability 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. Preferred Requirements: Knowledge of federal and state programs that will benefit coverage for clients 1+ years of Customer Service experience within a hospital OR healthcare environment Knowledge of medical terminology Experience communicating with patients & staff with various educational & socio-economic backgrounds Bilingual - English / Spanish EPIC experience Soft Skills: Excellent organizational skills Strong communication skills Physical and Work Environment: General office demands Prolonged periods of standing and walking in hospital facilities Adherence to facility masking requirements at all times Pay is based on several factors including but