Healthcare Representative

About the role

Erie, Pennsylvania

Caring. Connecting. Growing together.

This position is Onsite. Our office is located at 232 W 25th St Suite 0, Erie, PA 16544.

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
• 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), HIPAA, 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

• High School Diploma / GED
• Must be 18 years of age OR older
• 6+ months of healthcare customer service experience
• Experience with Microsoft Office products
• Ability to work on site at St. Vincent Hospital 232 W 25th St Suite 0, Erie, PA 16544
• Ability to work full time (40 hours / week) Monday - Frday, 8-hour shift schedule during our normal business hours of 8:00am - 4:30pm. It may be necessary, given the business need, to work occasional overtime and weekends.

Preferred Qualifications

• 1+ years of Customer Service experience within a hospital OR facility
• Knowledge of medical terminology
• Experience communicating with patients & staff with various educational & socio-economic backgrounds
• Bilingual fluency in English and Spanish
• Knowledge of federal and state programs that will benefit coverage for clients

Soft Skills

• Excellent organizational skills
• Strong communication skills

Physical and Work Environment

• Prolonged periods of standing and walking in hospital facilities

Pay and Benefits

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 - $29 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.

We’re honored to be recognized for our exceptional work culture

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