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.

Job Type: Regular Scheduled Hours: 40 Job Summary: Reports to the Patient Access Manager or Clinical Patient Access Manager, the Patient Access Specialist I is primarily responsible successfully managing large amounts of inbound and outbound calls. The Patient Access Specialist I ensures all pertinent medical information and care needs for patients are identified, documented and communicated to the provider. Collection of accurate demographic and insurance information from patients is equally important to facilitate a successful patient revenue cycle. Based on the operations, this position may be responsible for a variety of duties, including collecting and handling payments, providing customer service, entering accurate and thorough data into EMR, test scheduling, referral processing, and other duties as assigned. Job Description: Job Title: Patient Access Specialist I- Call Center BENEFITS: - Work from Home Opportunity after training (Equipment Provided) - Paid Time Off - Medical, Dental, and Vision - 403b with Match - Opportunity for Growth DUTIES AND RESPONSIBILITIES: - Comply with scheduling of patients and release of medical information processes to stay compliant with OSHA/CLIA/HIPAA. - Schedules appointments for patients. Uses manual/computerized system to match physician/clinician availability with patient’s preferences in terms of date and time. Communicates as needed with physicians/clinicians and other staff about any patient concerns/issues related to scheduling. - Verifies patient demographic information. - Verifies current insurance and ensuring current updates in the practice management system. - Provide information and resolve issues from patients/family members and insurance companies with empathy and compassion. - Collects co-pays, self pays, and outstanding balances. - Communicate in an effective and professional manner with payors, patients/family members, physicians, support employees, co-workers, and management. - Ensures all information on the patient appointment is complete, accurate, and ready for charge entry. - Ensures completion of referral process, outpatient test scheduling, and pre-certification. - Files and distributes all patient information and incoming mail. - Ensures accurate and timely distribution of patient requests. - Works with central billing office and physicians/clinicians as needed in a timely manner on all requests. - Completes all paper/electronic medical records reports. - Uses customer service principles and techniques to deal with patients calmly and pleasantly. - Updates the practice management system with new patient demographics. - Other duties and responsibilities as assigned are complete on a timely, thorough and accurate basis. EDUCATION: Minimum: High School Diploma/G.E.D. Desired: Medical Office Experience YEARS OF EXPERIENCE: Less than 3 years of experience in a medical practice, customer service or revenue cycle department LICENSES AND CERTIFICATIONS: None FLSA Status: Non-Exempt Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other. St. Elizabeth Physicians is an equal opportunity employer and will not discriminate on the basis of race, color, sex, religion, national origin, ancestry, disability, age or any other characteristic that is protected by state or federal law.