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Optum Patient Service Representative in Colorado Springs, Colorado

Summary: Make a professional, courteous impression to external and internal customers by greeting, registering, collecting payments, arriving, scheduling appointments and assisting with any problems included in the check in/check out process.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Ensure all patients and guests feel comfortable and welcome.

  • Accurately obtain and enter information in a timely manner and according to standards in appropriate systems.

  • Group Cast - demographic and insurance information, insurance eligibility, posting of collected payments and arrival of each patient. This includes established and new patients, newborns, visitors, nursing home and hospital patients. With all new patients, assigns a medical record number. When appropriate schedules walk in patients and return follow-up appointments.

  • Allscripts – Pharmacy information, phone call back consent form, Task Bucket items, i.e. sample medications, written prescriptions, forms, etc. and indicate the patient is “nurse ready”, including patients returning from lab and radiology. Scan pertinent documents into administrative file.

  • Perform modified duties for the surgical and specialty services as needed or as may be required/assigned by site manager(s)

  • Perform eligibility checks as required.

  • Monitor waiting area, screen and distinguish emergencies or STAT situations, notifying back office personnel and/or physician as necessary.

  • Answer questions about the organization and provide other information.

  • Receive, sort and route mail, including publications, to appropriate personnel. Accept and sign for all types of deliveries.

  • Share in the maintenance of office machines (copier, printer, fax, credit card), assist users, send faxes, and make copies when requested.

  • Process co-payments, deductibles, payments on account through “end of day” batch reports. Prepare the deposit to send to Administration.

  • Regularly attend employee and departmental meetings.

  • Maintain knowledge of company policies and procedures, OSHA and other related regulations and guidelines, and ensure department compliance.

  • Use, protect, and disclose Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. When necessary, distribute policies to patients.

  • Attend and complete all required training and development to include annual compliance training.

  • Perform additional duties as needed.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

  • High school diploma, GED or equivalent required

  • minimum of three to six months related experience preferred

  • Cash handling and customer service experience required.

Computer Skills:

Basic computer skills and ability to learn and use Optum's software. Minimum typing speed of 30 wpm.

Other Skills and Abilities:

  • Ability to meet the public in a courteous and pleasant manner and establish effective working relationships with patients, providers and staff members.

  • Ability to accept responsibility and take initiative to proceed without direct supervision.

  • Ability to operate a computer, multiline telephone systems, and other standard office equipment.

  • Ability to adapt to a fast-paced environment and multi-task under pressure.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit or stand for long periods of time; stooping, bending or reaching may also be required. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier, and other office equipment as necessary. The employee is regularly required to talk or hear.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee must be able to work in a normal office setting with fluorescent lighting and involves frequent contact with staff, patients, and the public. Contact may involve dealing with angry or upset people.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Here you’ll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.(SM)

Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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