Jobs · Business Development · South Carolina

Healthcare Representative

Optum · Columbia, SC · 1 wk ago
Business Development$16–$29/hrFull-time

About the role

$1,000 Sign-On Bonus for external candidates. This position is onsite at MUSC Columbia Downtown, 2435 Forest Dr, Columbia, SC 29204.

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) 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

Schedule

Full-time Monday–Friday. Employees must be flexible to work any shift schedule during normal business hours of 8:00 am–4:30 pm. Occasional overtime may be required. Training hours will align with your schedule.

Requirements

  • High school diploma / GED or equivalent work experience
  • Must be 18 years of age or older
  • 1+ years of patient interaction within a healthcare, hospital or human services environment
  • Experience with Microsoft Office products
  • Experience communicating with patients & staff with various educational & socio-economic backgrounds
  • Ability to work onsite full time at MUSC Columbia Downtown, 2435 Forest Dr, Columbia, SC 29204
  • Ability to work Monday–Friday 8:00 am–4:30 pm

Preferred Qualifications

  • Knowledge of medical terminology
  • Knowledge of federal and state programs that will benefit coverage for clients
  • Bilingual fluency in English and Spanish

Soft Skills

  • Excellent organizational skills
  • Strong communication skills

Physical and Work Environment

  • General office demands
  • Prolonged periods of standing and walking in hospital facilities

Pay

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

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