Healthcare Representative,

About the role

This position is Onsite. Our office is located at 140 Academy Street, Presque Isle, Maine.

Primary 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 to functions of daily living, and information contained in medical records.
• Willing to work in a fast-paced hospital or healthcare environment

Required Qualifications

• A High School Diploma / GED or equivalent experience
• Must be 18 years of age OR older
• 1+ year of customer service experience in healthcare, government (state or federal), social services, or human services settings
• Experience with Microsoft Office products
• Ability to work on site at 140 Academy Street, Presque Isle, Maine
• Ability to work Monday - Friday, 8:00 am - 4:30 pm EST
• Full Flu vaccination are an essential job function of this role. Candidates located in states that mandate Flu booster doses must also comply with those state requirements.

Preferred Qualifications

• Experience communicating with patients & staff with various educational & socio-economic backgrounds
• Knowledge of medical terminology
• Knowledge of federal and state programs that will benefit coverage for clients
• Bilingual fluency in English and Spanish

Physical and Work Environment

• Prolonged periods of standing and walking in hospital facilities
• Adherence to facility masking requirements at all times

Pay and Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).