Job Description

$1,500 SIGN ON BONUS FOR EXTERNAL APPLICANTS

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  Patient Service Specialist coordinates the provision of multiple services to patients performing a full range of administrative support services for clinic/site including collection of co-payments, registration, and scheduling of patients for medical procedures, tests, associated ancillary services and other related duties to ensure the highest level of patient/customer satisfaction.

Location: 24 Newton Street, Southborough, MA 01772

Schedule: 38.75 hours per week Monday through Friday from 8:15am-5:00pm

Primary Responsibilities:

• Verifies, re-verifies and authorizes patient insurance Coverage and eligibility utilizing computer-based patient registration/scheduling system
• Verifies and updates demographic, insurance, and other patient information.
• Confirms, collects, and posts patient co-payment and other outstanding balances
• Generates and tracks patient encounter forms; reviews patient encounter forms for completeness and resolves any discrepancies. Batches encounter forms and submit to appropriate building area
• Receives and addresses patient care related telephone calls. Provides routine information on procedures and standard policies, refers matters to appropriate person with department/site
• Identifies problem related priorities and responds to emergency needs by contacting/interpreting physician/provider within guidelines
• Resolve patients’ questions regarding clinic schedules and billing concerns; handles requests for prescription refills, reschedules appointments, etc.
• Documents appropriate information in computer system
• Prepares patient charts
• Ensures completeness by locating test results, reminding patients of appointments, including appropriate forms, etc., for patient appointments
• Updates and maintains Telephone Message System (TMS) in computer system. Follows through on requests. Distributes messages to appropriate provider or others for appropriate action
• Enters new referrals or ensures that existing referral numbers are linked in the system to ensure managed care requirements
• Provides patient education regarding managed care plans and referral process. Answers patient’s referral questions, concerns, etc. Provide patient with available options
• Works collaboratively with primary care practices, patients, and specialty practices to process outgoing referrals prior to scheduled visits. Follows up with practices that do not issue a referral or obtain referral on a timely basis
• Interfaces with staff, providers, and patients regarding denied referrals. Documents information and assists with alternate plan of care, if needed
• Completes and maintains patient schedules. Schedules and coordinates patient visits and medical procedures for both inpatients and outpatients. Communicates with patients regarding all information related to scheduled appointments
• Notifies providers, patients and others of changes such as new scheduling, re-scheduling, no-show, emergency appointments and add-ons
• Maintains recall lists and communicate with patients as appropriate. May inform nursing staff or others of laboratory and diagnostic study results; collects and mails test results
• May process standard and non-standard business office administrative paperwork, such as purchase requisitions, employee timesheets, expense vouchers, etc. Follows up with personnel outside the medical office to expedite timely action and alleviate, or report delays as appropriate
• Provides guidance to departmental personnel in medical office on administrative policies and procedures
• Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
• Complies with 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
• Regular, reliable, and predictable attendance is required
• Performs other similar and related duties as required or directed

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 experience
• Intermediate level of proficiency with general computer use
• Ability to work in office at 24 Newton Street, Southborough, MA 01772
• Ability to work 38.75 hours per week Monday through Friday from 8:15am-5:00pm

Preferred Qualifications:

• Specialized medical secretarial/medical office training
• Healthcare experience

Soft Skills:

• Ability to multitask and resolve patient concerns in a timely manner
• Ability to think critically and exercise sound judgement
• Excellent communication, interpersonal and organizational skills

**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. 

The salary range for this role is $16.00 to $28.85 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.

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

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