6 days old

Patient Service Representative - Per Diem Floater - Excela - Greensburg, PA

Greensburg, PA 15601
  • Job Code
    864761

Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. 

 

Who are we? Optum360. We're a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. 

If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.SM


The Patient Service Representative is responsible for coordinating and maintaining a positive customer experience while performing pre - registration, registration, scheduling, and business office functions. Must possess excellent customer service skills. Be able to interact in a friendly, professional manner with a wide range of patients, operations staff, physicians, and other departments within the Excela Health system. Attention to detail and the ability to work well under pressure is essential. Also must be able to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent.


This position requires a Pre - Employment Health Screening upon acceptance of any offer. Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease.

This is a per-diem position (18+ hours/week). Employees are required to have flexibility to work any of our shift schedules and must be available to work 24/7. This position will require employees to float between the 11 Excela Health sites listed below:

Greensburg, PA:

Medical Commons One

530 South Church street

Greensburg, PA 15601


Mountain View Diagnostics

200 Village Drive 

Greensburg, PA 15601


Westmoreland Hospital

532 West Pittsburgh street

Greensburg, PA 15601


Pellis Road Quickdraw

410 Pellis Road Suite 2B

Greensburg, PA 15601


Mt Pleasant, PA:

Frick Hospital 

508 South Church Street

Mt Pleasant, PA 15666

 

North Huntingdon, PA :

Excela Square at Norwin

8775 Norwin Avenue

North Huntingdon, PA 15672

 

Latrobe, PA:

Latrobe Hospital

1 Mellon Way

Latrobe, PA 15650

 

Excela Square at Latrobe

100 Excela Health Drive

Latrobe, PA 15650

 

Ligonier, PA:

Excela Health at Ligonier

117 West Wellington Alley

Ligonier, PA 15658


Blairsville, PA:

Blairsville Quickdraw Plus

56 Club Lane

Blairsville, PA 15717

 

Delmont, PA:

Delmont Quickdraw

6521 Route 22

Delmont, PA 15626


Primary Responsibilities:

  • Regular, consistent, on - site, and timely attendance
  • Schedules patient appointments for designated departments
  • Schedules appointments utilizing scheduling software tools
  • Provides testing instructions to assure smooth services
  • Secures authorization and referral if applicable
  • Customer Focus. Assesses customers' needs and considers customer in all decision-making processes to ensure a positive customer experience
  • Greets the customer in a polite and professional manner whether face - to - face or on the phone, determines needs and responds appropriately and courteously
  • Responds to customer issues (intra - departmental, inter - departmental, and public) timely and to the satisfaction of the customer
  • Identifies and performs appropriate action in situations where it is necessary to obtain appropriate documentation for proper advancement through the revenue cycle
  • Communication. Provides constructive feedback and clearly expresses ideas
  • Interviews patients and / or their representatives in order to obtain accurate demographic, insurance, and claim adjudication information in a timely, courteous, professional manner
  • Updates system appropriately and accurately, ensuring appropriate signatures are obtained and required authorizations / certifications / medical necessity guidelines are met
  • Communicates with management all issues that impact the accurate, timely and complete accomplishment of all assigned tasks
  • Identifies and communicates to management recommendations for process improvement
  • Displays dignity and respect in all interactions
  • Initiative. Readily accepts and incorporates changes into daily activities
  • Conforms consistently to all system changes; including insurance payer regulations
  • Possess functional knowledge of systems and the revenue cycle in order to adequately assist customers and reduce the unnecessary transfer of work flows
  • Follows all department processes and policies as required and updated
  • Motivation and Influencing. Influences and persuades others to build commitment to quality and a positive hospital experience
  • Acts as a role model for peers by striving for excellence, displaying a positive attitude, and actively supporting the team concept
  • Monitors and reports on individual productivity to assist in the evaluation of one's ability to organize and plan daily work in order to meet outcome - based criteria set by management
  • Volunteers to work additional hours or offers to contribute to on - going projects / assignments outside the scope of their own specific functions
  • Fiscal Accountability. Holds self - accountable for departmental processes in order to obtain maximum reimbursement for services and the successful flow of the revenue cycle
  • Assures proper identification of patients presenting for services following the proper departmental procedures
  • Maintains accuracy of insurance coverage and guidelines including not but limited to verifying coverage through online eligibility software/insurance web - sites / customer service phone lines; completing Medicare Secondary Questionnaire when required; verifying medical necessity and ABN processes; determining if necessary authorizations or referrals have been obtained; ensuring each order meets current published standards; etc
  • Investigates and identifies patient - responsibility dollar amounts in order to successfully collect point-of-service payments when appropriate
  • Charges posting where applicable when staff is not available timely

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.

",

Categories

Posted: 2020-06-29 Expires: 2020-07-29

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Patient Service Representative - Per Diem Floater - Excela - Greensburg, PA

UnitedHealth Group
Greensburg, PA 15601

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