Bilingual English / Spanish OR Creole Healthcare Representative

Primary Responsibilities

• Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage
• Complete applications for state and federal programs (including Health Exchange / Marketplace programs)
• Review medical records and take all necessary actions to expedite benefit approval
• Adhere to company and legal standards regarding Protected Health Information (PHI), Personal Identifiable Information (PII) and Personnel Transaction Identifier (PTI)
• Maintain ongoing communication with government agencies regarding the status of claims
• Provide updates and assistance to hospital personnel and other Optum staff as needed
• Maintain documentation of status of claims and client contract on Optum and / or hospital computer systems
• Determine when to use a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records
• Willing to work in a fast-paced hospital or healthcare environment

Required Qualifications

• A High School Diploma / GED OR equivalent experience
• Must be 18 years of age OR older
• Bilingual fluency in English and Spanish OR Creole
• Human services experience and / OR experience in speaking with patients or clinical staff
• Experience with Microsoft Office products
• Ability to work full time onsite at Jackson Memorial Hospital, 1611 North West 12th Avenue, Miami, FL, 33136
• Ability to work any shift between the hours of 8:00 am - 5:00 pm from Monday - Friday, including the flexibility to work holidays and weekends as needed
• Full Flu & COVID vaccination is an essential job function of this role

Preferred Qualifications

• 1+ years of experience with face-to-face patient interaction within a healthcare OR human services environment
• Experience in communicating with patients & staff with various educational & socio-economic backgrounds
• Case management experience
• Knowledge of medical terminology
• Knowledge of federal and state programs that will benefit coverage for clients

Soft Skills

• Excellent organizational skills
• Strong communication skills

Physical And Working Environment

• General office demands
• Prolonged periods of standing and walking in hospital facilities
• Adherence to facility masking requirements at all times

Pay

The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.