Healthcare Representative - Decatur, GA

Opportunities at Change Healthcare , part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals, and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.

As a Healthcare Representative , you will interview and advocate for patients and their families to obtain maximum benefit coverage in a hospital or healthcare setting.

This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work during our normal business hours of 8:00am - 5:00pm EST, including one weekend shift per month. It may be necessary, given the business need, to work occasional overtime. Our office is located at 2701 N Decatur Rd Decatur, GA 30033 - Emory Decatur Hospital.

We offer 4 weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment.

Primary Responsibilities:

Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage

Complete applications for state and federal programs (including Health Exchange/Marketplace programs)

Review medical records and take all necessary actions to expedite benefit approval

Adhere to company and legal standards regarding Protected Health Information (PHI), Personal Identifiable Information (PII) and Personnel Transaction Identifier (PTI)

Maintain ongoing communication with government agencies regarding the status of claims

Provide updates and assistance to hospital personnel and other Change Healthcare staff as needed

Maintain documentation of status of claims and client contract on Change Healthcare and/or hospital computer systems

Determine when to use a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records.

Willing to work in a fast-paced hospital or healthcare environment.

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 equivalent experience

1+ years of customer service experience

Experience with Microsoft Office products

Ability to travel up to 25% between local healthcare facilities

Ability to work Monday - Friday, 8:00AM – 5:00PM EST, including one weekend shift per month

Ability to work onsite in Emory Decatur Hospital, 2701 N Decatur Rd Decatur, GA 30033

Must be 18 years of age OR older

Preferred Qualifications:

1+ years of Customer Service experience within a hospital or healthcare environment

Bilingual fluency in English / Spanish

Previous experience communicating with patients & staff with various educational & socio-economic backgrounds

Knowledge of medical terminology

Knowledge of federal and state programs that will benefit coverage for clients

Soft Skills:

Excellent organizational skills

Strong communication skills

Physical and Work Environment:

General office demands

Prolonged periods of standing and walking in hospital facilities

Adherence to facility masking requirements at all times

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.

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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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