Patient Access Representative - Presque Isle, ME

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.

Often serving as the first point of contact for patients in preparation of upcoming appointments, this position requires excellent customer service and attention to detail.  The Pre-Registration Representative is responsible for the accurate and efficient pre-registration of patients by updating patient demographic and insurance information, in advance of the date of service. 

This position is full time, Monday-Friday, with rotating Saturdays. Employees are required to work during our normal business hours of 7:30am-5pm EST (6:30am – 2:30pm on Saturdays), the 8-hour shift would be contingent upon business need.  Our office is located at 18 Greenhill Road, Presque Isle, ME 04769.

We offer 3-6 weeks of paid training. The hours during training will be 8:00am to 4:30pm EST, Monday - Friday.  Training will be conducted on-site (timing varies).

If you are located within commutable distance to 18 Greenhill Road, Presque Isle, ME 04769, you will have the opportunity to telecommute* (work from home) after training onsite as you take on some tough challenges.

Primary Responsibilities:

• Ensures excellent customer service when assisting patients, providers, and other departments over the phone or in person
• Collects and verifies patient demographic and insurance information, making changes as necessary to ensure accuracy within each encounter
• Engages other departments to assist with patient questions or needs
• Facilitates conversations with patients to provide benefit information and collects copays or other patient liabilities due, prior to service
• Remains aware of department service level, abandonment rates and other measurable data and individual contributions to the overall metrics
• Meets/exceeds department defined productivity and audit goals and upholds all department policies and procedures
• Escalates outstanding needs to department leadership to ensure pre-registration and financial clearance functions occur prior to service date, expediting patient service and assisting with smooth and on time starts
• Verifies insurance coverage and benefits, updating the encounter appropriately
• May perform other duties upon request

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) 
• 6 months of experience in an office setting, customer service setting (over the phone or face to face), phone support role, or call center environment
• Beginner level of proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Must be 18 years of age or older
• Flexibility to work between the hours of 7:30 AM and 5 PM EST from Monday-Friday with rotating Saturdays. It may be necessary, given the business need, to work occasional overtime
• Influenza vaccination for the current flu season (typically August-May) or commitment to receive the influenza vaccination when available for the upcoming flu season

Preferred Qualifications:

• 1 years of registration experience in a hospital or medical setting
• Experience in Emergency Department
• Understanding of medical terminology
• Working knowledge of insurance policies and procedures and patient care settings  

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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