Role Description Exciting remote opportunity to join an expanded centralized clinical team supporting BJC Medical Group primary care clinics! The Clinical Rep, Cust Svc (Access Ctr) provides remote clinical support by performing a variety of clinical duties such as: - Managing medication refill requests - Prior authorizations - Responding to patient messages through the electronic health record (e.g., MyChart) Working under the direction of licensed providers, this position requires strong clinical judgment within scope, attention to detail, and efficient inbox management in a fast-paced ambulatory environment. Schedule: Monday through Friday 8 a.m. to 4:30 p.m., working one weekend day every 3rd weekend. Qualifications - High School Diploma or GED - 2-5 years of experience - No supervisor experience required Requirements - Navigates the electronic health record to obtain and validate historical information - Captures and documents demographic and financial information in the electronic health record - Maintains accountability for accurate data entry in the electronic health record - Maintains patient privacy and security as outlined by HIPAA - Manages a high volume of incoming calls from patients, healthcare providers, and facilities - Ensures resolution to the call - Leverages critical thinking with speed and accuracy to identify reason for the call - Researches complex issues in the electronic health record and consults/escalates to clinical staff when necessary - Schedules patient visits based on complex provider preferences - Verifies and updates insurance and checks insurance eligibility - Collects and documents demographics - Maintains proficiency in and shares knowledge of insurance basics, MyChart, and appointment instructions - Documents and sends messages to providers and clinical staff in the electronic health record for clinical-based needs - Communicates directly with providers (physicians) to relay pertinent clinical information during after hours - Manages calls within established performance and customer service standards - Achieves targeted abandoned call rate, average speed of answer, and average transaction time - Provides excellent and consistent customer service in a variety of situations - Communicates in a professional, positive, and respectful manner with patients, providers, BJC staff, and external organizations - Ability to work in a constant state of alertness and in a safe manner Benefits - Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date - Disability insurance paid for by BJC - Annual 4% BJC Automatic Retirement Contribution - 401(k) plan with BJC match - Tuition Assistance available on first day - BJC Institute for Learning and Development - Health Care and Dependent Care Flexible Spending Accounts - Paid Time Off benefit combines vacation, sick days, holidays, and personal time - Adoption assistance

Role Description Wir bieten Dir einen Minijob in der Telefonmarktforschung an, den Du deutschlandweit aus dem Homeoffice machen kannst. Du benötigst keine Erfahrung in der Tätigkeit als Call Center Agent. Wenn Du 603 Euro pro Monat von zuhause dazu verdienen willst, kommunikativ bist und sehr gut Deutsch sprichst, dann suchen wir genau Dich. Die Tätigkeit als Interviewer:in ist gut für Quereinsteiger geeignet. Durch unsere telefonischen Umfragen geben wir Meinungen eine Stimme und sorgen dafür, dass diese in die Entwicklung von Produkten oder Dienstleistungen und in öffentliche Entscheidungen einfließen können. Markt- und Meinungsforschung will Meinungen erfragen – aber nichts verkaufen und macht auch keine Werbung. Es geht um wissenschaftliche Studien. Aufgaben - Du befragst Menschen am Telefon für seriöse deutschlandweite Studien, u.a. zu den Themen Radiohören, Lebensqualität, Nachhaltigkeit, Reise- und Urlaubsverhalten und gesunde Ernährung. - Wenn Du gerne telefonierst, Menschen am Telefon anhand eines vorgegebenen Fragebogens befragen willst und über gute Deutschkenntnisse verfügst, kannst Du bei uns als Call Center Agent oder Telefon-Interviewer:in in der Markt- und Sozialforschung starten. Qualifications - Spaß am Telefonieren und beim Umgang mit Menschen - Eine freundliche und sympathische Telefonstimme - Eine deutliche und artikulierte Aussprache - Ein sicheres Auftreten am Telefon - Flexibilität, Teamgeist, Zuverlässigkeit und Einsatzbereitschaft - Eine sorgfältige und genaue Arbeitsweise - Gute PC-Kenntnisse - Der Minijob als Interviewer*in ist gut für Quereinsteiger geeignet. - Du solltest in Deutschland leben. - Mindestens 18 Jahre - Aufenthaltstitel (nur bei Nicht-EU Bürgern) und keine weitere Nebenbeschäftigung vorausgesetzt. Benefits - verlässlicher Minijob als Interviewer:in - max. 603 Euro pro Monat - 13,90 Euro pro Stunde - attraktives, sicheres Nebeneinkommen - flexible Arbeitszeiten - aktuelle Forschungsthemen - 2-mal bis 3-mal pro Woche arbeiten - regelmäßige Coachings und Schulungen - angenehme Arbeitsatmosphäre in einem netten Team - gut für Quereinsteiger geeignet - Arbeiten im Telefonstudio oder zu 100% im Home Office - Super flexible Arbeitszeiten: Mo-Fr zwischen 15:45-20:45 Uhr, Sa-So zwischen 10:15-15:15 Uhr - Wünschenswert sind 6-9 Arbeitsstunden pro Woche. Ein Arbeitseinsatz sollte mind. 3 Stunden am Stück andauern. - Fundierte Schulungen und Trainings: Informationen, Trainings und praktische Anwendungsmöglichkeiten um in der professionellen Telefonie fit zu werden. - Feedback von Supervisor*innen zu Deinen Talenten in der Telefonarbeit und im Umgang mit Gesprächspartnern.

Title: Patient Services Representative II Location: Boston United States Job Description: Requisition number: 2362268 Job category: Healthcare Delivery Primary location: Boston, MA Overtime status: Non-exempt travel">Travel: No REMOTE IN MA 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. Under direct supervision, plays an expanded and advanced level role in the creation of superior access for patients. Duties include but are not limited to handling incoming patient inquires and assisting patients in the management of appointments/care. Through a variety of support duties that facilitate the work of an interdisciplinary coordinated care delivery model, the Patient Service Representative plays an integral role in the support of our patients. As a level II representative, utilizes advanced skill set to perform all duties of the Patient Service Representative I and serves as resource and mentor for lower level representatives. Handles the more complex issues arising through incoming calls. Provides extraordinary customer service and strong problem solving skills to strengthen the patient/clinician relationship. Must have clear verbal and written communication skills to ensure improve patient access. Schedule: FT, 40 hrs. Monday - Friday, 8:30am - 5pm Location: If you are located within a commutable distance to an Atrius office that is nearest to you in MA or surrounding locations (RI, CT, NH), you will enjoy the flexibility to telecommute* as you take on some tough challenges. Will be required to work onsite at manager's discretion. Primary Responsibilities: - Maintains a higher degree of technical expertise than Patient Services Representative I and serves as role model to Patient Services Representative I's. Able to problem-solve and serve as a resource to other Patient Services Representativesm - Screens all incoming patient inquires (through phone, online/medical record message, or other means) to determine whether those inquiries can be appropriately handled by the Patient Service Representative or if they need to be directed to other team members - Courteous, friendly, problem solver with customer service, patient focused communication - Acts as a role model for other support staff and demonstrates a high level of competency in Patient Service Representative responsibilities - Proactively identifies issues and works to resolve them in areas involving patient satisfaction, patient flow, and compliance with procedures and guidelines. Advocates for patients as appropriate - Identifies and assists in resolving operational difficulties and communicates with supervisor regarding department issues and problems as necessary. Demonstrates a high level of competency when handling difficult phone calls and dealing with complex issues - Initiates request for forms, letters, medication renewals, referrals, prior authorizations, and any other administrative needs submitted by patients and answers any corresponding questions. Understands all documents and processes - Reviews and facilitates the updating of missing /outdated information in the patient record, such as demographics, primary care physician selection, and insurance - Develop and maintain effective and efficient communication with the patient, interdisciplinary team, department staff, providers, and other agencies - Reviews department appointment schedules to ensure that clinic utilization is optimized and effectively supports the needs of the clinics as well as the needs of the patients - Assists with data collection activities and provide appropriate follow up for statistical reports or required studies, ensuring data is properly collected and accurate (e.g. no show reports, telephone statistics) - Receives escalated issues and determines appropriate action and/or works with clinical team for decision - Effectively deescalates issues with upset patients and practices. Uses advanced listening techniques to understand the issue and give patients options as they are available. Escalates to supervisors only as needed - Supports, mentors and trains lower level assistants - Participates in problem solving activities, focusing on productivity and quality. Works with supervisors to ensure continuous improvement of the department - Participates in special projects and ongoing programs unique to the department - May represent department on groups and teams related to upgrades of the electronic medical record - Performs functions of a Patient Service Representative I - Performs other duties as assigned - Accesses only the minimum necessary protected health information (PHI) for the performance of job duties - Actively protects the confidentiality and privacy of all protected health information they access in all its forms (written, verbal, and electronic, etc.) taking reasonable precautions to prohibit unauthorized access. Complies with all Atrius Health and departmental privacy policies, procedures and protocols. Follows HIPAA privacy guidelines without deviation when handling protected health information - Performs all job functions in compliance with applicable federal, state, local and company policies and procedures - Primarily remote with an occasional need to be present at a practice site for meetings or trainings 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.) 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 - 2+ years of administrative experience in a medical setting Preferred Qualifications: - Previous EPIC experience preferred - Strong problem solving and complex patient management skills preferred Soft Skills: - Able to communicate in a professional and appropriate manner - Strong interpersonal, customer service, time management, and organizational skills required - Working knowledge of patient related documents preferred - Able to use all electronic tools and applications relevant to the performance of the duties of the position, including but not limited to phone, keyboard, computer and computer applications *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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 $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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 #GREEN

Title: Patient Service Representative Location: Worcester United States Job Description: Requisition number: 2335460 Job category: Healthcare Delivery Primary location: Worcester, MA Additional locations: Worcester, Massachusetts Overtime status: Non-exempt travel">Travel: No 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. Reliant Pediatrics & Adult Medicine has an immediate opening for a friendly, patient focused and detailed orientedPatient Service Specialist to join our team. ThePatient Service Specialist is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals. Schedule (38.75 hours): Monday through Friday, between the hours of 8:30 am to 5:00pm. The schedule will be determined by the practice manager upon hire. Location: 5 Neponset Street, Worcester, MA This individual would be expected to train onsite and work a hybrid-remote model out of our Worcester, MA site with possibility of going 100% in the future. This position follows a hybrid schedule with in-office days for initial training and as needed. If you reside in Worcester, MA, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges. Primary Responsibilities: - Supports a high volume of calls typically for a defined region/dept with back up support to a sister region/dept adhering to department productivity standards set forth by service line - Screens all incoming patient inquires (through phone, or potentially mychart) to determine whether those inquiries can be appropriately handled by the Patient Service Representative or if they need to be directed to other team members. This includes chart review to identify previous activity that may have occurred related to the call - Adheres to service line booking guidelines to ensure that clinic utilization is optimized safely and effectively as well as supporting the needs of our patients - Initiates request for forms, letters, medication renewals, referrals, prior authorizations, and any other administrative needs submitted by patients following standard work determined by service line and answers any corresponding questions. Understands all documents and processes - Documents detail each call in the patients' electronic medical record using both service line documentation tools as well in addition to free text when appropriate to ensure coordination of care - Reviews and facilitates the updating of missing /outdated information in the patient record with each call including demographics, primary care physician selection, and insurance - Effectively deescalates issues with upset patients and practices. Use advanced listening techniques to understand the issue and give patients options as they are available to help resolve and ensure satisfaction. May refer difficult or highly complex phone calls and issues to a supervisor - Participates in resolving operational difficulties and communicate with supervisor regarding department issues/ problems and opportunities for improvement - Develops and maintains effective and efficient communication with the patient, interdisciplinary team, department staff, providers, and other agencies - Participates in problem solving activities, focusing on productivity and quality - Works with supervisors to ensure continuous improvement of the department - Attends required team and/or regional meetings to learn new workflows and stay connected with teams working in a remote environment - Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations - Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance - Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents - Written Communications: Ability to summarize and communicate moderately complex information in varied written formats to internal and external customers - Oral Communications: Ability to comprehend and communicate complex verbal information to medical center staff, patients, families, and external customers - Knowledge: Ability to demonstrate full working knowledge of standard work, practices, procedures, and policies with the ability to use them in varied situations - Teamwork: Ability to work collaboratively with interdisciplinary teams consisting of remote and onsite staff to improve the operations of immediate work groups by offering ideas, identifying issues, and respecting team members - Complies with health and safety requirements and with regulatory agencies - Complies with established departmental policies, procedures, and objectives - Enhances professional growth and development through educational programs, seminars, etc. - Attends a variety of meetings, conferences, and seminars as required or directed - Regular, reliable and predictable attendance is required - Performs other similar and related duties as required or directed 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:http://uhg.hr/uhgbenefits(opens in new window) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 healthcare or customer service-related experience - Intermediate level of proficiency with Computer-Based Navigation (ability to navigate multiple screens, document electronically, typing while speaking on the phone & familiarity with technology) - Ability to work onsite as needed and work remotely from home Preferred Qualifications: - 1+ years of experience working in a medical front office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays and maintaining medical records - Proficiency in Microsoft Office (Word, Excel and Outlook) - Knowledge of Epic EMR software - Ability to learn new software (EPIC/EMR) and flexibility to attend new hire training Soft Skills: - Ability to work independently and maintain good judgment and accountability - Ability to prioritize tasks to meet all deadlines - Ability to work well under pressure in a fast-paced environment - Demonstrated ability to work well with health care providers - Strong organizational and time management skills - Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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.