Healthcare Representative

About the role

This position is Onsite. Our office is located at 140 Academy Street, Presque Isle, Maine.

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

Requirements

• High School Diploma / GED or equivalent experience
• Must be 18 years of age OR older
• 1+ year of customer service experience in healthcare, government (state or federal), social services, or human services settings
• Experience with Microsoft Office products
• Ability to work on site at 140 Academy Street, Presque Isle, Maine
• Ability to work Monday - Friday, 8:00 am - 4:30 pm EST
• Full Flu vaccination are an essential job function of this role. Candidates located in states that mandate Flu booster doses must also comply with those state requirements.

Qualifications

• High School Diploma / GED or equivalent experience
• Must be 18 years of age OR older
• 1+ year of customer service experience in healthcare, government (state or federal), social services, or human services settings
• Experience with Microsoft Office products
• Ability to work on site at 140 Academy Street, Presque Isle, Maine
• Ability to work Monday - Friday, 8:00 am - 4:30 pm EST
• Full Flu vaccination are an essential job function of this role. Candidates located in states that mandate Flu booster doses must also comply with those state requirements.

Skills

• Customer service skills
• Medical terminology knowledge
• Knowledge of federal and state programs that will benefit coverage for clients

Benefits

Our comprehensive benefits package includes:

• Comprehensive health plans
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Pay

The hourly pay for this role will range from $16.15 - $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Schedule

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 4:30 pm EST. It may be necessary, given the business need, to work occasional overtime.