Healthcare Representative - Daytona Beach, FL

Company: UnitedHealth Group
Location: Daytona Beach
Posted on: May 25, 2023

Job Description:

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.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

The Healthcare Representative will act as advocates and meet with patients and their families daily. They are responsible for tracking every application they receive and obtaining high rates of successful outcomes. If you appreciate helping people and possess great communication and computer skills, take the next step towards a rewarding career at Change Healthcare!

This position is full-time. Employees are required to work any shift between the hours of 8:00am - 6:00pm. Including the flexibility to work occasional overtime and weekends based on business need. Our office is located at 303 North Clyde Morris, Daytona Beach, FL 32114

Primary Responsibilities:

Work effectively with hospital employees and patients.

Interviewing clients in a hospital setting and/or home visits to assist the clients in obtaining maximum benefit coverage.

Completion of applications for state and federal programs (including Health Exchange/Marketplace programs), reviewing medical records and taking all necessary action to expedite benefit approval.

Achieve and maintain certification designation as "Certified Application Counselor".

Adherence 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.

Making a determination to take 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.

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 higher)

1+ years of customer services experience

Understanding of Microsoft operating systems

Ability to work full-time from 8:00am- 6:00pm, Monday - Friday. Including the flexibility to work occasional overtime and weekends based on business need.

Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state, and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Preferred Qualifications:

1.5+ years of customer service experience within a contact center or healthcare environment

Bilingual fluency in English and Spanish

Medical or dental office or medical scheduling knowledge

Soft Skills:

Good communication skills with the ability to provide great customer service

Good interpersonal and active listening skills

Detail oriented with good oral and written skills

To protect the health and safety of our workforce, patients, and communities we serve, UnitedHealth Group and its affiliate companies required all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state, and local COVID-19 vaccination regulations as well as client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

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. SM

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.

#RPO #RED

Keywords: UnitedHealth Group, Daytona Beach , Healthcare Representative - Daytona Beach, FL, Healthcare , Daytona Beach, Florida