Patient Check-In Representative

About the role

Pursue your passion and potential. Join Optum, a global organization dedicated to improving health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.

Responsibilities

• Completes check-in process including general health screening procedures to notify clinical unit patients who have arrived and directs patients according to service line customer service standards
• Identify patients with incomplete registrations and may update info; calls Central Registration Office or scans insurance card as needed for follow up by Central Registration
• Ensure patients are registered with the correct accounts. Verifies and updates demographic and insurance information. Ensure all patients have completed and signed registration, NPP non-covered services waiver forms and any other applicable forms as required for compliance or billing purposes
• Utilizes health plan or vendor specific web sites to verify insurance eligibility
• Identifies patients with workers' compensation and motor vehicle accident-related injuries. May create a shell account and refer these patients to Medical Billing (ILR Team) for completion of registration
• Review completed documentation for workers' compensation and motor vehicle related injuries and scans of information into medical records
• Ensures all patients have appropriate referrals and signed waivers if necessary. May enter referral information into Epic system
• Collects payments, co-payments, and past due balances and posts payments to appropriate account and date of service
• Completes end of day cash processing reconciliation by balancing daily deposit with Resolute user batch, completes all cash related forms and makes daily deposit at drop safe. Adheres to all established cash receipts policies and procedures
• Performs daily business office cashier functions assigned for business needs including:- Receives funds from users in practice areas. Counts money to verify cash receipts
• Researches and resolves problems with transactions and balances. Reconciles daily practice collections to the Daily Collection Repost (DCR)
• Prepares daily bank deposits for the practice and transports the deposit to the Garda drop safe with either security or building services escort
• Balances cash and receipts. Prepares and provides cash receipts with required reconciliation and tally documents. Maintains ongoing daily and monthly area statistics. Reports and documents may include user batch report and a copy of the DCR
• Runs and/or reviews end of day reports and identify any variances. Follows up with user for corrections. Tracks errors and losses to ensure accuracy and identify fraudulent activity or theft. Communicate with area supervisors or end users when expected collections are not received or whenever an error is discovered. Interacts with cash receipt departments to resolve any discrepancies or answer questions related to the DCR or cash processes
• Posts payments (e.g. petty cash checks). Researches any discrepancies between posted balances and deposits (e.g. bank discrepancy/variances). Adjusts into Epic's Resolute as needed. Works with Billing Operation staff to resolve Resolute posting errors
• Maintains and routinely updates the required cash handling forms. Keeps adequate supplies of such forms for all departments. Orders, maintains and distributes supplies including: all collections and bank deposit forms; imprinted deposit slips; bank deposit bags; and all other supply items related to the practice collections and bank deposit system
• May review, research and correct information as needed for work business reports or work queue including but not limited to incoming referral work queue, missing coverage reports, and outstanding balance reports after 90 days in role
• Provides regular feedback and individual training to site staff regarding cash handling and end-of-day deposit procedures
• Maintains and routinely updates the required cash handling forms. Keeps adequate supplies of such forms for all departments. Orders, maintains and distributes supplies including: all collections and bank deposit forms; imprinted deposit slips; bank deposit bags; and all other supply items related to the practice collections and bank deposit system
• Performs other duties as assigned

Qualifications

• High School Diploma/GED
• 1+ years of administrative experience in a business setting (i.e. healthcare or hospitality check in with cash handling, insurance verification, payment collection, banking, billing or end of the day reconciliation) with direct patient or customer service delivery (healthcare setting preferred)
• Beginner level computer proficiency
• Access to reliable transportation

Skills

• Demonstrated customer service and recovery skills, strong verbal, written and telephone communication skills
• Attention to detail, demonstrated multi-tasking skill
• Strong computer skills (keyboarding, data entry and moving quickly between multiple application systems, proficiency in email)
• Working knowledge of medical office check-in function including health plan coverage and referrals, authorizations, patient balance terminology (deductible, co-pay, co-insurance)
• EMR proficiency

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

Pay

The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Schedule

Monday - Friday, 11:30am - 8pm

Location

40 HOLLAND ST. SOMERVILLE, MA

Company Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.

Company Culture

We are committed to helping people live healthier lives and making the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.