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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Medical and Clinical Operations

Country:

United States

Postal Code:

85001

Approximate Salary:

Not Specified

Position Type:

Full Time

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Multi-Patient Task List Representative (MPTL) - Phoenix, AZ

UHG - Phoenix, Arizona

Posted: 10/7/2018

Healthcare isn’t just changing. It’s growing more complex every day. ICD-10 Coding replaces ICD-9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare 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 Healthcare 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.

The MPTL Representative employs excellent customer service skills and is responsible for frequent communication with the facility based clinical team members and payor sources in partnership to deliver adequate facility and patient bed management.

The MPTL Representative ensures timely, accurate and complete capture of all demographic and insurance information to provide appropriate reimbursement for services rendered. Also, the MPTL Representative is ultimately responsible for admits, transfers and discharges meeting critical performance standards for timeliness.

Primary Responsibilities:

  • Under the guidance and direction of the centralized patient access unit leadership and sensitive to the employee work-life balance, will work a predefined schedule to support the operational and facility-based needs of twenty-four (24) seven (7) days a week operation. Processing orders assigned to MPTL as patient accounts require admissions, transfers and or discharges at the facility location. With the understanding of teamwork and support that may require modification to meet those needs.
  • Supports clinical bed management duties by ensuring system updates have been made in required IT systems for admits, transfers and discharges, meeting 5-minute performance standard.
  • Corrects registration edits and demographic updates as required when changing patient status.
  • Conducts Insurance Eligibility / Benefit Verification via web-based tools and as necessary by phone.
  • Supports registration activities by printing the required documentation (i.e., face sheets, patient armbands, etc.), coordinating production with the facility caring for the patient.
  • Provides fax, phone, or electronic notification to payers of patient admissions and upgrades.
  • Identifies issues in need of escalation to corporate Financial Clearance staff and facility financial specialists (i.e., Financial Clearance and Financial Counseling staff).
  • Maintains up-to-date knowledge of specific registration requirements for all areas, including Inpatient and Outpatient Registration Services.
  • Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration.
  • Communicates with the facility or providers when necessary to clarify or obtain additional patient information.
  • When necessary, escalates accounts to appropriate facility Patient Registration leadership staff.
  • Complies with HIPAA, PHI, and its implications, ABN, MSP, EMTALA, etc. and other regulations which affect the registration process.
  • Under the guidance and direction of the centralized patient access unit leadership and sensitive to the employee work-life balance, will work a predefined schedule to support the operational and facility-based needs of twenty-four (24) seven (7) days a week operation. Processing orders assigned to MPTL as patient accounts require admissions, transfers and or discharges at the facility location. With the understanding of teamwork and support that may require modification to meet those needs.
  • Supports clinical bed management duties by ensuring system updates have been made in required IT systems for admits, transfers and discharges, meeting 5-minute performance standard.
  • Corrects registration edits and demographic updates as required when changing patient status.
  • Conducts Insurance Eligibility / Benefit Verification via web-based tools and as necessary by phone.
  • Supports registration activities by printing the required documentation (i.e., face sheets, patient armbands, etc.), coordinating production with the facility caring for the patient.
  • Provides fax, phone, or electronic notification to payers of patient admissions and upgrades.
  • Identifies issues in need of escalation to corporate Financial Clearance staff and facility financial specialists (i.e., Financial Clearance and Financial Counseling staff).
  • Maintains up-to-date knowledge of specific registration requirements for all areas, including Inpatient and Outpatient Registration Services.
  • Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration.
  • Communicates with the facility or providers when necessary to clarify or obtain additional patient information.
  • When necessary, escalates accounts to appropriate facility Patient Registration leadership staff.


Required Qualifications:
  • High School Diploma / GED (or higher)
  • PC experience (opening applications, sending emails and conducting data entry)
  • Experience with Microsoft Excel and Microsoft Word (creating, sending and editing documents)
  • Flexibility to work between 5:00 am - 5:30 pm
Preferred Qualifications:
  • 6+ months of patient access or registration experience working in a hospital patient registration department, physician office setting, healthcare insurance company, revenue cycle vendor and other revenue cycle related roles
  • 6+ months of experience solving patient problems and issues in a professional medical setting
  • 6+ months of experience verifying medical insurance policies and procedures in a professional medical environment
  • Working knowledge of medical terminology
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: 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.

Keywords: Customer Service, Clinical, Admits/Discharges, Phoenix, AZ, data entry

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