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Patient Access Specialist
Patient Access SpecialistOptum • Boulder, CO, US
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Patient Access Specialist

Patient Access Specialist

Optum • Boulder, CO, US
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Job Description

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.   Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.   Join us to start  Caring. Connecting. Growing together.

The  Patient Access Specialist  is responsible for the smooth operation and flow of patients within the registration area. This includes greeting patients, providing information, answering phones, registering patients and entering exam orders as required. They are also responsible for obtaining all demographics, insurance information, appropriate codes, and authorizations from patients (or their representatives) and physicians in a courteous and efficient manner for billing.  Other duties pertinent to optimal patient experience, patient flow, and efficient staff utilization are also expected.

Schedule :   Monday - Thursday - 7 AM - 5 : 30 PM

(Schedule is subject to change based on business needs).

Location :   Foothills Location  - 4747 Arapahoe Ave., Boulder, CO 80303

Primary Responsibilities :

  • Interview patients to obtain demographic, billing, and insurance information and complete all registration steps
  • Locate and process provider requisitions
  • Determine insurance eligibility
  • Determine patient payment and collect payment on insured and self-pay accounts
  • Obtain signatures for necessary paperwork including, but not limited to, financial agreements and medical release, etc
  • Demonstrate thorough knowledge of EMTALA regulations
  • Problem solves account registration issues when working reports and / or patient concerns
  • Prioritize work according to departmental need
  • Maintain proficiency on all necessary software modules
  • Exercise good judgment in referring complex situations to the appropriate leadership team member
  • Respond to patient questions, concerns and feedback, referring them to appropriate lead or supervisor
  • Responsible for meeting all competencies as listed on the Competency Based Orientation and regularly scheduled competency checkoffs
  • Employees are expected to comply with all regulatory requirements, including Joint Commission Standards
  • Is familiar with organization, department, and job specific Environment of Care areas, including Life Safety, Utilities Management, Hazardous Materials communications, Emergency Preparedness, Infection Control, and Medial Equipment failure
  • Must adhere to Universal Precautions which includes a) The use of protective barriers as appropriate; gloves masks gowns pocket masks
  • safety glasses, b) Handling and disposing of infectious waste appropriately, c) Hand washing as appropriate
  • Keep up to date with all hospital policies and procedures
  • Assist with coverage of open shifts when needed
  • Attend staff meetings and all mandatory meetings as required
  • Complete required hospital-wide trainings as required
  • Report all supply needs, work related problems, or injuries to leadership
  • Read and return all e-mail, phone calls
  • Responsible for time keeping, clocking in and out according to established guidelines, as well as, reporting absences, leaves, and tardiness according to policy
  • Ensure that all supplies and forms are stocked in the area
  • Assists with other duties as requested

What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include :

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at :
  • 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 customer service experience
  • Ability to work the following schedule - Monday - Friday - 7 AM - 5 : 30 PM
  • Preferred Qualifications :

  • Experience with Microsoft Office products
  • Experience in Customer Service Role
  • Experience with Medical Records
  • Experience in a Hospital Patient Registration Department, Physician office or any medical setting
  • Experience in insurance reimbursement and financial verification
  • Experience in requesting and processing financial payments
  • Working knowledge of medical terminology
  • Understanding of insurance policies and procedures
  • Ability to perform basic mathematics for financial payments
  • Soft Skills :

  • Strong interpersonal, communication and customer service 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 $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

    Application Deadline :   This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

    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.

    #RPO #RED

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    Patient Specialist • Boulder, CO, US

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