Virtual Insurance Verification Jobs in Massachusetts

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  

The Senior Patient Care Coordinator performs a variety of duties for the registration of new and existing patients for both primary care and specialty care. Addresses all inquiries from potential new patients through various channels. Maintains the accuracy of patient demographics and specializes in insurance verification. Provides detailed communication to patients regarding the multiple benefits offered at Reliant Medical Group. Supports site staff with registration and insurance inquiries. Provides outstanding customer service.

Schedule: FT 9:30-6pm 38.75 hours per week

Location: 385 Grove St. Worcester MA - Remote position Required in person training for 3 months

If you are located within a commutable distance to Worcester, MA or surrounding locations, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Specially trained in customer service and initial chart creation to ensure accuracy and a positive financial impact. This includes but is not limited to validating patient demographics, guarantor and subscriber demographics, insurance, PCP, email, social security, and other relevant information within the computerized system to ensure it is complete, accurate, and insurance is active
• Knowledge with insurance verification programs such as One Source as well as multiple insurance verification websites to confirm eligibility
  Maintains knowledge of company-wide providers, including their gender, location, years of service, care team models, specialties, etc., assisting patients with choosing a provider that best fits their medical needs
• Completes data entry in New Patient Registration database to provide monthly reporting that provides clinical operations and marketing multiple transactions such as but not limited to new registration and transfer completions, along with additional data such as patient preference for provider and location
• Handles a large volume of inbound calls, following communication scripts and organizational knowledge to best meet patient needs
• Performs patient outreach phone calls for multiple work queues to ensure data integrity and to maximize reimbursement. This includes but is not limited to PCP insurance updates, Medical Records, pediatric patients aging into adults, obstetrics pediatrician requests, and specialty/ReadyMed PCP requests
• Supports and promotes clinical operations VPC Virtual Primary Care Program to patients that qualify to receive care virtually
• Handle patient exception requests through staff messages with physicians
• Outreach to patients relevant to PCP requests conducted via mail and voicemail
• Books a variety of patient appointments, such as new patient physicals, new patient visits, etc., using EPIC scheduling system
• Generates initial welcome mailing for new patients
• Updates appointment notes for self-pay services as a means to communicate with the supported departments the patient's awareness of financial responsibility
• Communicate the importance and provide release of information requests in order to obtain past patient medical records in a timely manner
• Promotes and manages up organization benefits such as our online portal (MyChart), ReadyMed urgent care locations, virtual care, geriatric primary care, and the APCC Advanced Practitioner Clinician Collaborative program
• Assist with departing provider process, review departing provider patient panel list to find any discrepancies. Adds transition letter documentation to each patient chart
• Provides support to patients and site staff in resolving complex registration and eligibility issues
• Acts as a liaison with payors and patients regarding open/closed provider panels
• Supports the Medicare Patient Helpline, providing high-level education to patients on Medicare and Medicare Advantage plans
• Identifies and communicates ideas for process and/or flow improvements to management
• Complies with health and safety requirements, established departmental policies, procedures, and objectives
• Enhances professional growth and development through educational programs, seminars, etc.
• Attends a variety of meetings, conferences, and seminars as required or directed

What 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
• 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.)

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 
• 1 years of customer service, call center, and/or insurance experience
• 1 years of healthcare registration or receptionist experience
• 6 months of insurance registration experience

Preferred Qualifications:

• EPIC experience
• Demonstrated knowledge of a variety of computer and software products (i.e., Microsoft Office, etc.)
• Excellent interpersonal, communication, and organizational skills
• Basic Medical terminology

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter 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 $20.00 to $36.00 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.

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