Patient Access Team Lead at UnitedHealth Group in Waukesha, WI

Job description

$2,000 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Hours : Monday-Friday between the hours of 6:45 am and 5:00 pm Location : Waukesha Memorial Hospital - 725 American Ave Waukesha, WI 53188. Will occasionally travel to Oconomowoc Memorial Hospital Primary Responsibilities: Verifies, re-verifies and authorizes patient insurance coverage and eligibility utilizing computer-based patient registration/scheduling systems. Verifies and updates demographic, insurance, and other patient information. Confirms, collects, and posts patient co-payments 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 billing area Maintains records and makes daily cash deposit as assigned Receives and addresses patient-care related telephone calls. Provides routine information on procedures and standard policies, refers matters to appropriate person within department/site Identifies problem related priorities, and responds to emergency needs by contacting/interrupting physician/provider within guidelines Resolves patients’ questions regarding clinic schedules and billing concerns; handles requests for prescription refills, rescheduling appointments, etc Documents appropriate information in computer system. Prepare 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 Enter new referrals or ensure 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 patients’ referral questions, concerns, etc. Provides patients 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 Completes and maintains patient schedules. Schedules and coordinates patient visits, medical procedures for both inpatients and outpatients. Communicate 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 communicates with patients as appropriate May escort patients to examination rooms and chaperones patients as required. May process standard and non-standard business office administrative paperwork, such as purchase requisitions, employee time sheets, 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 the medical office on administrative policies and procedures Comply with health and safety requirements and with regulatory agencies such as DPH, etc. Comply with established departmental policies, procedures, and objectives Enhance professional growth and development through educational programs, seminars, etc. Attends a variety of meetings, conferenc