This position is Onsite. Our office is located at 19500 W Interstate, San Antonio, TX.
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.
The Senior Clerk is responsible for quickly answering all calls and properly referring questions and issues to the appropriate back office staff. Serves as the first point of contact for the home health agency offering assistance to customers, physician office, patients, vendors and other staff members within the organization. Great customer service skills, attention to detail, and answering phone calls in a professional and courteous manner and have good communication skills and speed. Performs quality assurance on all referral processing to ensure minimal errors and provide feedback to central intake management of current team performance. Manages messages sent through messaging system TIGER CONNECT from the answering service and ensures they are distributed to the appropriate branch personnel through the TIGER CONNECT distribution groups. Enters patient information into current EMR.
This position is full-time, Monday - Friday. Employees are required to wok an 8-hour shift schedule during our normal business hours of 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime.
This will be 1:1 training with a senior lead then on-the-job training and the hours during training will be Monday - Friday, 8:00 am - 5:00 pm CST
Primary Responsibilities:
Collects, verifies, and records initial client information to include type of services, insurance, benefits, physician information, and patient demographicsAssist in answering Inbound / Outbound calls to provide accurate, satisfactory answers to queries, concerns, and status of referral processingRequests the referral source fax, email, or utilize referral platforms for orders on all patientsReview of new authorizations received for patient care visits for accuracy and uploads into patient EMRReviews and enters home health non - admissions into current EMRSupports home health intake specialist with reviewing and entering new home health referralsPerforms quality assurance on all referral processing to ensure minimal errors and provide feedback to central intake management of current team performanceAble and willing to train all new employees for the home health receptionist position as well as provide refresher training when neededContacts the patient to verify information to include address, insurance, pertinent information and provides a date for their first initial visit with the clinicianEnters all data entry of patient information into EMR and uploads any necessary paperwork pertaining to patient information for clinician reviewKnowledgeable and able to navigate eligibility portals for patient information / authorization information: eCW ; naviHealth ; Avality ; EPRG ; Trucare ; Waystar; UHC, Alscripst, Careport, Curaspan, Leading ReachMaintain great customer service, attention to detail, answer phone in a professional and courteous manner, good communication skills and speedManages messages sent through messaging system TIGER CONNECT from the answering service and ensures they are distributed to the appropriate branch through the TIGER CONNECT distribution groupsResponsible for reviewing and renaming all faxes that come through right fax and assign to appropriate intake specialistReview new web referrals from facility platforms, rename and assign to the appropriate intake specialistPerform general clerical duties in support of patient services; These include, but are not limited to, answering phones, copying, faxing, and reviewing incoming patient referral documentation for accuracyResponsible for checking email, TIGER CONNECT, team messaging system and voicemail to respond to time - sensitive messages from customers, leadership, lower - level managementAssist in obtaining authorization for skilled nursing visits, therapy visits, and home health aide visitsAbility to promote and maintain a positive attitude and encourage others to do the samePerforms other job duties as assigned by direct supervisorAttends all required in-service training programs to maintain comprehensive home healthcare knowledge baseDemonstrates effective time management skills by completing assignments within projected timeframesExpresses verbal and written communication in a clear, positive, and cooperative mannerDemonstrates personal responsibility with regard to attendance and punctuality and adheres to the code of conduct policy set forth by UHGPromotes Agency philosophy, mission statement, and administrative policiesMaintains privacy and confidentiality with regard to all patients, their families, staff, and Agency informationPromotes the Agency image by adhering to the Dress Code PolicyFollows the appropriate chain of command in all forms of communicationDemonstrates flexibility, enthusiasm, and willingness to cooperate while working with others or in place of others as necessary
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:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and / or ability required.
High School Diploma / GED OR equivalent years of work experienceMust be 18 years of age OR older1+ years of experience in a healthcare, medical office OR home health back office administrative duties1+ years of experience with Microsoft Word / Microsoft Excel processing softwareSkilled in the use of computer terminals and common office devices, including printers, fax machines, and copiers.Ability to effectively understand and follow both written and verbal instructions in English.Ability to work onsite at 19500 W Interstate,
San Antonio, TXAbility to work any of our full time, shift schedules during our normal business hours of 8:00 am - 5:00 pm CST, from Monday - Friday. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
Medical terminology knowledgeBilingual fluency in English and SpanishKnowledge of general office procedures
Soft Skills:
Typing skills should be at a minimum speed of 25 - 30+ WPM
Physical and Work Environment:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to remain seated for prolonged periods and maintain concentration to taskAbility to distinguish impressions of shape, size, distance, motion, color, and other characteristics of objects, through the eyes. Major visual functions must include far sight acuity and near acuityMust have sufficient dexterity and visual acuity to operate office machinesAbility to lift 25 lbs.Ability to work in a stressful environmentPositive work environment is promoted for all Agency employeesPerforms duties in office environment during Agency operating hoursNoise level may be moderately highRequires ability to handle stressful situations with calmness and courtesy at all timesOccasional need to work extended hoursAbility to maintain flexibility and adaptability to the work environment is critical
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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