Patient Financial Service Representative - Worcester, MA

Reliant Medical Group, part of the Optum family of businesses, is seeking a Patient Financial Service Representative to join our team in Worcester, MA. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 4:30pm. It may be necessary, given the business need, to work occasional overtime. Employees are required to work some days onsite and some days from home.

We offer 6-12 weeks of paid training. The hours during training will be 8:00am to 4:30pm, Monday - Friday. Training will be conducted onsite.

If you are within commutable distance to the office at 100 Front Street 12th Floor, Worcester, MA, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

Primary Responsibilities:

• Responds to patient/responsible party via telephone, in person and written contacts in a professional manner and according to Revenue Operations guideline. Processes patient receivables, and special requests in accordance with office policy and procedures.
• Responsible for coordinating and processing registration reports and issues.
• Processes incoming telephone calls, correspondence, visiting patients, responsible parties and guarantors in a timely and professional manner.
• Follows up on all requests in a timely and courteous manner.
• Counsels patients/responsible parties on third party insurance issues, charges and self-pay balances. Educates patients on insurance coverage and payment alternatives, including budgets and courtesy programs. Researches and resolves all issues.
• Resoles duplicate record issues. Processes registration audit trail and other reports as required or directed. Completes new patient registrations for affiliate practices and services provided at remote locations. Assists with monitoring all electronic medical record registration interfaces.
• Assists in processing accounts eligible for bad debt and collection agency submission.
• Coordinates issues with providers and collection agencies in a professional manner.
• Accurately posts self pay type payments according to standard procedures. Resolves refund and credit balance issues.
• Makes outgoing collection and inquiry telephone calls to patients/ responsible parties as directed.
• Processes estate, legal, budget, free care and other financial classes as directed.
• Fosters excellent quality customer service standards in daily operations.
• Communicates and interfaces with providers, staff, patients, family members and others to ensure high-quality patient care.
• Corrects unsatisfactory conditions that may arise or notifies manager or others of any discrepancies.
• Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
• Complies with established departmental policies, procedures, and objectives.
• Participates in performance improvement initiatives as required.
• Attends a variety of meetings, conferences, and seminars as required or directed.
• Enhances professional growth and development through educational programs, seminars, etc.
• Complies with all health and safety regulations and requirements.
• Performs other similar and related duties as required or directed.
• Regular, reliable and predicable attendance is required.

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
• Must be 18 years of age OR older
• 1+ years of customer service experience (call center, medical, or office admin)
• 1+ years of experience in Healthcare
• Proficient with Microsoft programs
• General knowledge of Medical Terminology
• Ability to work full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 4:30pm. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• Medical billing experience

Telecommuting Requirements:

• Reside within commutable distance to the office at 100 Front Street 12th Floor, Worcester, MA
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, 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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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