Opportunities with Crystal Run Healthcare, part of the Optum family of businesses. Advance your career in a dynamic health care setting. Our commitment to coordinated care and technology-driven practices not only elevate patient care but also provides our team with a supportive work environment. With a growing network of locations, we offer a platform for career advancement with an excellence culture. Join us in making an impact and discover the meaning behind Caring. Connecting. Growing together.Crystal Run HealthCare, part of Optum, has an immediate opening for a friendly, patient focused and detailed oriented Patient Services Representative to join our team. The Patient Services Representative is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to Lean processes. Supports the teams in meeting financial, clinical and service goals.Schedule: Office is open seven days a week. This role would consist of a 37.5-hour work week, between the hours of 11:30 am to close (approximately 9:00 pm). The schedule will be determined by the supervisor upon hire. Rotating Holidays and WeekendsLocation: 155 Crystal Run Road, Middletown, NY 10941Primary Responsibilities:Adheres to standards of professionalism set by the PracticeAlways maintains professional appearance by adhering to dress code and wearing identification badgeDemonstrates and maintains professionalism in behavior and courtesy toward the patients and staffRespects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice and staff membersFunctions as a member of a team committed to quality patient careTakes initiative to keep informed of new/revised Policy and Procedures, Standards of Care and incorporates these into practiceAttends and participates in mandatory quarterly staff meetings / huddlesCompletes Mandatory Education timely and consistentlyAttends and participates in training, review classes and projects as assignedHandles difficult situations and people with tact, professionalism and H.E.A.R.TAccurately documents patient complaints and concerns, ensuring the patient feels heard and supported. Appropriately escalates issues to the designated personnel for timely resolutionDemonstrates good judgment in escalating difficult situations and people to Management personnelDemonstrates professionalism in attendance & punctuality. Consider number of unauthorized or unscheduled absences, a pattern of before and after weekend absences, tardiness and early departures, and long meal periods in accordance with the policyPromotes a positive work attitude fostering teamwork and acceptance of management decisionsSupports on-site training initiative for new Patient Services employeesAssists co-workers whenever possible, to achieve office goals and patient satisfactionWorks independently, takes initiative in completing assignments and does so without reminderCompletes all miscellaneous work assigned by Director, Assistant Director, Manager, Supervisor, Team Leader or Physician accurately and in a timely mannerOpens office as needed; turns on copiers, terminals and printers, and updates computer for current day's sessionCommunicates with clinical staff to keep patient informed of appointment statusVerifies insurance eligibility and coverage by phone, independent website, RTE or EPIC at time of serviceVerifies patient demographic and insurance information at time of visit. Assures all demographic and insurance information is accurate, complete and up to date in the patient's chartScans current insurance card and photo identification into systemProvides, explains and reviews for accurate completion, all Registration forms, consent forms and obtains signatures as requiredProvides and explains the Authorization to Release Health Information to patient at their request and documents appropriatelyDiscusses balances due, including past balance, co-payments, co-insurance and deductibles, referring to Patient Accounts as necessary; takes responsibility for collecting and posting payments from patients at time of service via check, money order or credit card in compliance with our policies and proceduresOffers patient's My Chart activation in compliance with Meaningful Use guidelinesProvides After visit Summary in compliance with ACO guidelinesFollow end of day check process daily to total and balance collectionsBegins the check in process in EPIC. Act on notations and completes the check in process successfullySchedules/Cancels/Reschedules patient appointments as ordered by the physician adhering to scheduling policies and proceduresObtains HMO insurance referrals as required for maximum reimbursement of services renderedNotifies management or other departments appropriately using Clerical Templates for various issues/requests/reasonsMaintains supply inventories and equipment necessary for the effective performance of the job; communicates supply needs to the office supervisor in a timely mannerMaintains a neat, organized, orderly environment in the reception and waiting room areas, including physician business cards, brochures, signage, etcCloses office as needed, ensuring all patients accounted for and discharged. May be required to set alarmActively demonstrates good oral and written communication skills with both internal and external customersDemonstrates flexibility in schedule to meet patient and office needsParticipates in a rotating schedule for holidays and weekends, if applicable. May be required to adjust shifts to meet the operational needs of the practiceCross-trained in all specialties to ensure continuity of service and coverage across the department. All staff are hired for the building, not a specific suite or specialty, and expected to adapt to evolving practice needsMaintains the kiosk representative station when assigned, assisting patients with check-in, navigation, and general inquiries to ensure a welcoming and supportive experienceWorks with a sense of urgencyPerforms other tasks as required for the effective and efficient functioning of the Practice when directed to do so by Supervisory and Managerial personnelActively monitors and works assigned and unassigned work queues during downtime to support efficient operations and ensure timely patient serviceResponds to emails promptly and professionally, ensuring all inquiries and concerns are addressed in a timely manner. Utilize Reply All when neededWhat are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
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
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
High School Diploma/GED (or higher)
1+ years of customer service or healthcare related experience
Intermediate level computer proficiency (including being able to work on multiple web browsers using dual monitors at the same time to include Microsoft Outlook)
Preferred Qualifications:
Experience as a receptionist in a healthcare setting
Experience working with electronic health records
Experience working with scheduling programs
Knowledge and ability to learn and apply job functions, and minimal medical terminology knowledge
Soft Skills:Ability to work independently and as a team, and maintain good judgment and accountabilityDemonstrated ability to work well with health care providersStrong organizational and time management skillsAbility to multi-task and prioritize tasks to meet all deadlinesAbility to work well under pressure in a fast-paced environmentExcellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from othersFor more information on our Internal Job Posting Policy, .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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.At UnitedHealth Group, our mission is to help people live healthier lives and make 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. 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.UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #RED
