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Customer Service Patient Dispute Representative - Rancho Cordova, CA - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | RANCHO CORDOVA, CA RANCHO CORDOVA, California |
About this job
Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care 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 health care 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.
This position is responsible for handling patient complaints that have been escalated from the facilities, the web inquire, the C.F.O. or hospital administration. The Dispute Resolution team reviews in its entirety the patient's complaint and how the account was charged, billed and processed. The Patient Dispute Representative must work with appropriate department management for charge clarifications, risk management issues and P.F.S to interpret what transpired on the account. Each complaint requires the utmost care and compassion in delivering the response to the patient to ensure they understand and are satisfied with the outcome. As a primary contact point for customers, it is essential that the position exemplify the Dignity Health Values and a commitment to customer satisfaction.
Requirements
Requirements:
- High school diploma or GED
- Available to work 40 hours per week within the operating hours of the site (Monday - Friday 7am to 5pm)
- 1+ years of Billing and Finance and Eligibility processes, practices and concepts (Senior Patient Account Assistant for Dignity Health and Optum360)
- 1+ years Medical and insurance terminology
- 1+ year experience with correspondence and drafting patient dispute letters as well as resolving client related issues as primary job function
- Basic Billing and Follow up experience
Assets:
- Intermediate proficiency of MS Office suite preferred; MS, Word, Excel, Visio and Outlook
- Basic knowledge of managed care industry preferred
- Basic Knowledge of Billing and Finance and Eligibility processes, practices and concepts preferred
- 1+ years of patient accounting experience preferred
- Bilingual in Spanish, Mandarin, or Farsi preferred
Soft Skills:
- Ability to balance and prioritize multiple tasks
- Must be willing to work and contribute in a team environment and flexible to change
Work Environment:
- Extended periods of sitting at a computer and use of hands and fingers across keyboard or mouse
- Office environment
- Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
- Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
Take the next step, online at: www.yourlifesbestwork.com
Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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