Healthcare Representative

About the role

This position is onsite at our office located at 43 New Scotland Ave, Albany, NY 12208. Optum Insight is improving the flow of health data and information to create a more connected system, removing friction between care providers and payers, and ultimately benefiting consumers. Our deep industry expertise and innovative technology help organizations reduce costs while improving risk management, quality, and revenue growth.

Schedule

Full time, Monday – Friday. Employees must be flexible to work 8:00 AM to 5:00 PM EST, with the ability to work 1–2 weekend shifts per month. Occasional overtime may be required. Training is provided on the job during normal business hours.

Responsibilities

• Interview patients in a hospital setting and collaborate effectively with hospital personnel to help patients obtain 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), Personally Identifiable Information (PII), and Personnel Transaction Identifier (PTI)
• Maintain ongoing communication with government agencies regarding claim status
• Provide updates and assistance to hospital personnel and other Optum staff as needed
• Maintain documentation of claim status and client contract on Optum and/or hospital computer systems
• Determine whether to use a Federal, State, or Local program application based on medical definition of disability as it relates to body systems and 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 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 work on site at 43 New Scotland Ave, Albany, NY 12208, Albany Medical Center
• Must be able to work Monday – Friday from 8:00 AM to 5:00 PM EST, with ability to work 1–2 weekend shifts per month

Preferred Qualifications

• 1+ years of customer service experience within a hospital or healthcare environment
• Knowledge of federal and state programs that benefit client coverage
• Knowledge of medical terminology
• Experience communicating with patients and staff with various educational and socio-economic backgrounds
• EPIC experience
• 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
• Adherence to facility masking requirements at all times

Pay

Pay is based on several factors including local labor markets, education, work experience, and certifications. The hourly pay for this role will range from $18 to $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Benefits

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