Healthcare Representative

About the role

This position is onsite at Beth Israel Deaconess Hospital-Milton, 199 Reedsdale Road, Milton, MA 02186. Optum Insight is improving the flow of health data and information to create a more connected system by removing friction and driving alignment between care providers and payers, ultimately benefiting consumers.

Schedule

Full time Monday – Friday. Employees must be able to work any shift schedule during normal business hours (8:00 am – 5:00 pm) and be available for 1–2 weekend shifts per month. Occasional overtime may be required. Training is provided during normal business hours.

Responsibilities

• Interview patients in a hospital setting and collaborate 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), 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 claims status and client contracts on Optum and/or hospital computer systems
• Determine appropriate federal, state, or local program applications based on medical definitions of disability and information in medical records
• Work in a fast-paced hospital or healthcare environment
• Perform other duties as assigned

Requirements

• High school diploma / GED or equivalent experience
• Must be 18 years of age or older
• 1+ years of customer service experience
• Experience working in a group or office setting
• Proficiency with Microsoft Office products
• Ability to work onsite at 199 Reedsdale Road, Milton, MA 02186
• Availability to work full time Monday – Friday with flexibility to work any shift schedule during 8:00 am – 5:00 pm and 1–2 weekend shifts per month
• Occasional overtime as needed

Preferred Qualifications

• 1+ years of customer service experience within a hospital or healthcare environment
• Experience communicating with patients and staff across diverse educational and socio-economic backgrounds
• Epic experience
• Knowledge of federal and state programs that benefit client coverage
• Knowledge of medical terminology
• 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

The hourly pay for this role ranges from $18 to $32 per hour based on full-time employment, in accordance with applicable minimum wage laws.