Healthcare Representative

About the Role

This position is onsite at Columbia Memorial Hospital, 71 Prospect Ave, Hudson, NY 12534. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality, and revenue growth. Join us to start Caring. Connecting. Growing together.

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 the status of claims and client contracts on Optum and/or hospital computer systems.
• Determine when to use a Federal, State, or Local program application based upon the medical definition of disability as it relates to body systems and functions of daily living, and information contained in medical records.

Requirements

• High School Diploma / GED OR equivalent experience.
• Must be 18 years of age OR older.
• 1+ years of Customer Service experience.
• Experience with Microsoft Office products.
• Experience working in a group or office space setting.
• Ability to travel up to 10% to local healthcare facilities.
• Ability to work on-site at Columbia Memorial Hospital, 71 Prospect Ave, Hudson, NY 12534.
• Ability to work Monday - Friday from 8:00 AM to 4:30 PM. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications

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

Skills

• Excellent organizational skills.
• Strong communication skills.

Physical And Work 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 $18 - $32 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

Benefits

In addition to your salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).