Description Why join our team at Definiti? If you enjoy tackling challenges and believe in delivering exceptional client service, Definiti may be perfect for you. You can make a difference by helping to improve and secure many retirements, while also helping to grow a dynamic organization. Most roles are fully remote, so you need to be comfortable using technology, be productive in a home office with a reliable internet connection to stay in touch with your team and deliver high-quality service to our clients. Definiti supports your professional growth through comprehensive training and industry credentials and certifications. Definiti is a national retirement services company that helps clients manage and administer their retirement plans. We help clients define what's possible and what’s next for their retirement plans. PURPOSE OF POSITION The Participant Service Center Representative (PSC Representative) provides outstanding customer service while handling incoming and outgoing phone calls, emails, and faxes for plan participants for assigned Definiti retirement plans. The PSC Representative assists with answering questions about account balances, helps to make withdrawals, transfer funds, or find additional resources. PRIMARY DUTIES AND RESPONSIBILITIES - Maintaining a positive, empathetic, and professional attitude towards participants and clients always and fellow team members - Take participant calls and provide accurate, satisfactory answers to their queries and concerns - De-escalate situations involving dissatisfied customers, offering patient assistance and support - Respond promptly to participants after thoroughly researching their questions - Collaborate with other call center professionals to improve customer service - Proficient in handling participant phone calls for assigned retirement plans (i.e., Daily RK Plans, DB Plans, DC Plans with outside recordkeepers) - Proficient on assigned systems and websites (i.e., Relius Participant Website, Relius DB Utilities, outside recordkeeper websites) - Determining plan eligibility Requirements COMPETENCIES REQUIRED - Basic knowledge of retirement plan services and daily recordkeeping - Ability to stay calm when customers are stressed or upset - Experience working with customer support - Experience working with Microsoft Office applications - Time management focus, with attention to deadlines and timelines - A track record of consistently meeting and/or exceeding performance expectations - Positive attitude and dedication to our client’s needs EDUCATION AND QUALIFICATIONS - High school diploma or GED required - Associates degree preferred - Minimum 2 years customer service experience (financial services industry a plus) - Defined Benefit or Defined Contribution experience preferred - Bilingual - English/Spanish a plus REMOTE WORKING REQUIREMENTS As a remote-first company, we have compiled expectations for a successful remote work environment: - Ability to build rapport with others remotely while working productively with limited in-person interaction - Have access to a reliable and consistently strong, high-speed internet connection suitable for remote work. A stable, high-speed internet connection is essential for effective communication, collaboration, and productivity while working remotely - Designate a quiet, and well-lit space free of as many distractions as possible - Be online and available to work during designated business hours in local time zone - Accustomed to using Microsoft Teams (or similar virtual-meeting applications) to meet with colleagues regularly on video and use the chat feature for quick communications. We utilize many Microsoft Teams features (such as Channels and file storage) for announcements, relevant conversations, and file sharing. Familiarity with Microsoft Teams is a plus - Accustomed with file-storage and file-sharing tools such as Microsoft SharePoint BENEFITS Definiti has a dynamic, growth-focused culture, and we are committed to offering attractive employee-centric benefits, including: - A virtual-first work philosophy for most jobs - 401(k) with up to 4% match - Flexible PTO allows you to take the time you need for wellness, vacations, and personal matters. We foster a trusting environment where employees manage their workloads responsibly. Time off doesn’t accrue. - 12 paid holidays, 2 paid floating holidays, and your birthday is a holiday - Paid Parental Leave - A variety of medical, dental and vision plan options including Definiti subsidized premiums - Company-paid life insurance and short-term disability insurance - Bonus plan eligibility

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This position is Remote in Mountain OR Pacific Time Zone. You will have the flexibility to work remotely as you take on some tough challenges. As a Patient Support Center Representative, you will be responsible for acting as a patient advocate to help resolve patient issues pertaining to claims, benefit referrals, physicians, and access. You will also be responsible for managing a high volume of inbound calls, entering patient information into information systems, and resolving caller’s issues with outstanding customer service skills. In addition, you will serve as a liaison between the patient and other departments and Optum sites. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 8:00pm, Monday - Friday OR 8:00am to 6:00pm PST, Saturday to Sunday. It may be necessary, given the business need, to work occasional overtime. We offer 30 to 90 days of paid training. The hours of training will be 8:00am to 5:00pm, Monday - Friday. Primary Responsibilities: - Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care, and concern with each and every internal and external customer. - Multi-task utilizing double monitors for data entry, phone etiquette, and use of resources while maintaining proper guidelines. - Provides services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate. - Assists other Patient Support Center Representatives and Supervisors with daily paperwork load as needed to resolve and/or document patient issues. - Recognizes financial, medical, and legal risks based on data collected during customer interactions and follows appropriate procedures. - Meets department goals which include but are not limited to call volume, accuracy, quality, and attendance. - Utilizes Optum systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs. - Translates oral information into concise and accurate written documentation per guidelines. - Assists new or potential members in the choice of PCP and supplies general information about medical group. - Pages clinicians and assists Telehealth Nurses as necessary (e.g., arranging DME, transportation, and HH). - Data enters PCP changes into the system and processes paperwork as necessary. Qualifications - High School Diploma / GED OR equivalent experience. - Must be 18 years of age OR older. - 1+ years of working in a customer service-based role. - Proficiency using Microsoft Suite and other systems. - Ability to work full-time (40 hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 8:00pm, Monday - Friday OR 8:00am to 6:00pm PST, Saturday to Sunday. It may be necessary, given the business need, to work occasional overtime. Requirements - 1+ years of working in a healthcare setting (Preferred). - Bilingual fluency in English and Other language (Preferred). Telecommuting Requirements - Reside within the Mountain OR Pacific Time Zone. - Ability to keep all company sensitive documents secure (if applicable). - Required to have a dedicated work area established that is separated from other living areas and provides information privacy. - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). - Hourly pay for this role will range from $16.15 - $28.80 per hour based on full-time employment. 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.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Patient Scheduling Representative - REMOTE. In this role, you will play a vital part in ensuring patients receive timely and accurate scheduling for their medical services. Your responsibilities will include: - Direct data entry of patient information into our electronic medical records. - Conducting interviews to gather necessary information. - Maintaining compliance with healthcare regulations. - Supporting patient satisfaction and the efficiency of our healthcare operations. Accountabilities: - Navigate web-based systems for patient registration and scheduling. - Accurately enter patient demographic and insurance information. - Provide explanations of scheduled procedures and necessary instructions. - Document patient interactions and appointment details accurately. - Verify insurance eligibility and benefits for medical services. - Initiate and document insurance authorizations as required. - Educate patients on insurance coverage and financial assistance. - Support revenue cycle functions and assist with patient inquiries. - Maintain compliance with healthcare regulations and reporting standards. Qualifications - High School Diploma or GED required. - Medical Terminology coursework preferred. - Basic computer skills, including typing 25 - 35 words per minute. - 1 year of call center or customer service experience preferred. - Experience in a medical facility preferred. - Proficiency in Microsoft applications (Excel, Word, PowerPoint). Requirements - High School Diploma or GED required. - Medical Terminology coursework preferred. - Basic computer skills, including typing 25 - 35 words per minute. - 1 year of call center or customer service experience preferred. - Experience in a medical facility preferred. - Proficiency in Microsoft applications (Excel, Word, PowerPoint). Benefits - Flexible remote work environment. - Opportunities for professional growth and development. - Comprehensive training and onboarding. - Supportive team culture focused on patient care. - Health and wellness benefits.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Triage RN, Access reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Triage RN, Access provides clinically expert virtual triage service. In their role, the triage nurses serve as a liaison between the patient and their physician by assessing the presenting problem or chief complaint, utilizing targeted evidence-based triage protocols to identify acuity and develop appropriate care advice and next-step recommendations. - Triage nurses must demonstrate excellent customer service and communication skills and the ability to function as part of a highly effective team that consistently puts Patients First. - Establish positive first impressions with patients and customers, establishing a role as patient advocate. - Triage all incoming telephone calls and electronic messages, prioritizing and resolving, involving the provider as appropriate, successfully completing the communication cycle. - Incorporates critical thinking to develop, implement and update an individualized plan of care based on identified patient care and learning needs. - Asks key questions to gain insight into the patient’s clinical condition and able to adjust approach as needed to get necessary information. - Document all communications in the electronic medical record. - Schedules patient for visit with provider as appropriate based upon protocols. - Follows triage protocols in place for the department. - Assist in scheduling appointments for patients with providers within NM. - Assist in orientation of new staff members. - Assist in specific process improvement projects. - Participates in departmental quality improvement activities. - Uses effective service recovery skills to solve problems or service breakdowns when they occur. Qualifications - Graduate of accredited RN program. - 2 years of ambulatory care experience. - Registered Nurse License issued by State of Illinois. - Current AHA BLS Provider certification. Requirements - BSN (Preferred). - Specialty certification upon eligibility (Preferred). Benefits - Wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being. - Protection for unexpected life events.