If you are located within Redlands, CA, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start
Caring. Connecting. Growing together.
The
Pre-Registration Specialist works under general and direct supervision to perform the various routine and complex clerical duties as defined in department operating procedures or supervisory instruction. Pre-Registration Specialist will work in a team environment and will be required to handle a high volume of transactions with a high level of accuracy.
The Pre-Registration Specialist is responsible for verifying eligibility for all patients having appointments at all clinics, or having services at outside facilities, contact new patients and existing patients to ascertain current insurance information and account information and determine if the various forms are current. The duties and responsibilities require advance knowledge of insurances, A/R knowledge and in-depth understanding of registration policies as noted in the Registration Manual.
The Pre-Registration Specialist Lead works collaboratively with the Registration Information Manager to coordinate activities of the Pre-Registration Specialist staff in the management of all training, auditing and assuming all duties of the Pre-Registration Specialist. In the absence of the Registration Information Manager, will be the point of communication with the registration staff at various clinics.
This position is full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00AM - 4:30PM. It may be necessary, given the business need, to work occasional overtime. Our office is located at 10425 Enterprise Dr 10425 Enterprise Dr Redlands, CA 92374.
We offer 4 weeks of paid training. The hours of training will be 7:00am - 3:30pm PST, Monday - Friday.
Training will be onsite then will go remote after training.
- All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities
- Responsible for verifying insurance eligibility and benefits and making appropriate updates as needed.
- Notifies supervisor of trends in information from insurance companies regarding eligibility and benefits.
- Notifies appropriate personnel of entity records that need to be combined or deleted.
- Notifies appropriate personnel of retro terms when claims need to be re-billed to current Insurance.
- Follows all department procedures relating to new and established patients.
- Ensures the adherence to processes as dictated by policy, procedures, and the Registration Manual.
- Contacts Patients for current insurance information.
- Notifies clinic if patient has termed and no new insurance information is available.
- May be assigned special project or other assignments and work tasks that are generally within the scope and level of the position, and relative to the need for flexible Company Operations.
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
- Must be 18 years of age OR older
- 1+ year of experience in a Medical Office setting
- Ability to work full-time, Monday - Friday between 7:00AM - 4:30PM including the flexibility to work occasional overtime given the business need.
Preferred Qualifications
- Medical Billing and Insurance Certificate
- 2+ years of experience in a Medical Office setting working with medical insurances
Telecommuting Requirements
- Reside within Redlands, CA
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills
- Ability to research, understand and proficiently use Windows and the Internet.
- Excellent interpersonal communication skills.
- Detail-oriented; ability to work in a high stress environment; logical thinker; able to solve problems; highly accurate.
- Works with enthusiasm, teamwork, cooperation, and a sense of urgency, able to meet deadlines.
- Maintains a high degree of confidentiality over all matters in the course of business operations including patient and employee information.
- Ability to prioritize workload, work quickly, solve problems. Desire to continually leam and retain new information.
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.
- While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop kneel, crouch, or crawl; lift boxes, etc., computer print outs; climb ladder and steps; file; fax, copy, and talk or hear.
- The employee is routinely required to sit.
- The employee must occasionally lift and/or move up to 25 pounds.
- Specific vision abilities required by this job include close vision and the ability to adjust focus.
- The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
- The noise level in the work environment is moderate.
California Residents Only: The hourly range for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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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