Patient Access Representative (Central Registration)

Full-time - Entry Level

Onsite - Cooperstown, NY

Insurance Carriers and Related Activities

About the position

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Responsible for providing patient-oriented service in a clinical or front office setting; performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting, and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment. This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:30am - 5:00pm with an occasional Saturday. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 1 Atwell Rd Cooperstown, NY.

Responsibilities

• Communicates directly with patients and/or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility/benefits
• Utilizes computer systems to enter access or verify patient data in real-time ensuring accuracy and completeness of information
• Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements
• Verifies insurance coverage, benefits, and creates price estimates, reverifications as needed
• Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
• Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
• Responsible for collecting data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
• Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
• Generates, reviews and analyzes patient data reports and follows up on issues and inconsistencies as necessary
• Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units

Requirements

• High School Diploma/GED (or higher)
• 1+ years of customer service experience in a hospital, office setting, customer service setting, or phone support role
• Ability to work onsite at 1 Atwell Road in Cooperstown, NY
• Ability to work the required schedule: Mon-Fri 8:30am - 5:00pm with an occasional Saturday. It may be necessary, given the business need, to work occasional overtime or weekends
• Must be 18 years of age or older

Nice-to-haves

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

Benefits

• 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.)