Patient Access Representative

Responsibilities

• Provide patient-oriented service in a clinical or front office setting, including greeting and checking in patients.
• Complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility.
• Utilize computer systems to enter and verify patient data in real-time to ensure accuracy and completeness.
• Process referrals, pre-certifications, pre-determinations, and pre-authorizations according to insurance plan requirements.
• Collect patient co-pays and discuss out-of-pocket financial obligations with patients.
• Identify and attempt to collect outstanding balances from previous patient visits.
• Respond to patient and caregiver inquiries regarding routine and sensitive topics with compassion and respect.
• Maintain up-to-date knowledge of registration requirements for various units, including Main Admitting, ED, and Maternity.

Requirements

• High School Diploma or GED.
• 1+ years of experience in a customer service role (e.g., hospital, office, or phone support).
• Intermediate proficiency with Microsoft Office products.
• Ability to work 100% onsite at St. Joe's Hospital in Phoenix, AZ.
• Ability to work a Per Diem/On-call schedule with flexibility for 8-hour shifts.
• Access to reliable transportation and a valid US driver's license.
• Must be 18 years of age or older.

Preferred Qualifications

• Experience in a hospital patient registration department, physician office, or medical setting.
• Experience requesting and processing financial payments.
• Experience with insurance reimbursement and financial verification.
• Working knowledge of medical terminology.
• Understanding of insurance policies and procedures.
• Ability to perform basic mathematics for financial transactions.

Benefits

• Comprehensive benefits package including health plans.
• Financial benefits including retirement planning and 401k contributions.
• Emotional and physical wellness resources and support.
• Incentive and recognition programs.

About the Company

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. We are part of UnitedHealth Group, working to connect people with the care, pharmacy benefits, data, and resources they need to feel their best.