Healthcare Representative

This position is onsite at Emory Hospital Warner Robins, located at 1601 Watson Blvd, Warner Robins, GA 31093, with additional support provided at 1120 Morningside Dr, Perry, GA 31069 as needed based on business requirements.

About the role

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.

As a Healthcare Representative, you will interview and advocate for patients and their families to obtain maximum benefit coverage in a hospital or healthcare setting.

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 (including Health Exchange/Marketplace 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 functions of daily living, and information contained in medical records
• Work in a fast-paced hospital or healthcare environment

Requirements

• High School Diploma / GED
• Must be 18 years of age or older
• 1+ years of healthcare or medical experience
• Experience with Microsoft Office products
• Ability to work onsite at Emory Hospital Warner Robins and provide additional support in Perry, GA as needed
• Ability to work full-time Monday - Friday with flexibility to work any shift schedule during normal business hours of 8am - 5pm EST, including occasional overtime

Preferred Qualifications

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

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, and certifications.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Schedule

• Full-time, Monday - Friday
• Normal business hours: 8am - 5pm EST
• 4 weeks of on-the-job training aligned with your schedule
• Occasional overtime may be necessary based on business need