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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



Approximate Salary:

Not Specified

Position Type:

Part Time

Part - Time Benefits Specialist (LHI) - New York, NY

UHG - New York, New York

Posted: 11/12/2018

At Optum, the mission is clear:  Help people live heathier lives and help make the health system work better for everyone


LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans.

By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system.


LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on-location services, patient-specific in-clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.


There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work.

The Benefits Specialist will primarily work directly with patients to identify their specific needs and / or recommend adjustments to their plan of care. Additionally, the Benefits Specialist will assist patients in understanding details related to their care, explain their medical benefits / coverage specifics and / or how to access those benefits. They will provide education on the appropriate utilization of services and facilitate preferred provider decisions.

The Benefits Specialist will also be responsible for facilitating clinic customer check-ins and the check-out process, to include face to face consultation regarding exam outcomes, program benefits and needs assessment. The Specialist will serve as the first and last point of contact for clinic customers in order to address customer needs or questions accordingly while providing a positive patient experience.

Primary Responsibilities:
  • Ensure proper security measures are adhered to for all clinic customers and staff
  • Operate a multi-line phone system to answer, screen and transfer inbound phone calls
  • Input / update patient demographic data into computer system
  • Identify urgent member situations and escalate to next level when necessary
  • Manage / respond constructively to challenging patient interactions (e.g., address lack of understanding, socioeconomic challenges, frustrated patients, language barriers)
  • Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment
  • Provide individualized education on preventative healthcare measures (e.g., immunization, healthcare screening)
  • Explain and ensure understanding of details related to patient care (e.g., home health care transition procedures)
  • Explain medical benefits / coverage specifics (e.g., procedures / amounts covered, denials of coverage, appeal rights) and / or how to access benefits
  • Educate member on appropriate utilization of services based on need (e.g., PCP vs. ER)
  • Facilitate member choice of preferred provider
  • Coordinate / confirm scheduling of doctor visits / services with patients, verify referral approval
  • Use desk top computer applications (e.g., MedNet, Excel, Word, Outlook, Office Communicator) to summarize information (e.g., reports) or communicate member information to others.
  • Document information (e.g., assessment information, member interactions, referrals, follow up plans) in relevant computer systems.
  • Collect, scan and upload medical records into appropriate data systems
  • Print exam documents and review outcomes with the member
  • Navigate multiple applications at once to obtain and / or document member information
  • Learn updates and changes to computer systems / applications and apply to navigate applications effectively

Required Qualifications:
  • High School Diploma / GED (or higher)
  • Allied Health Professional with 3+ years of experience working in a health care role
  • Understanding of Federal privacy regulations (e.g., HIPAA)
  • Knowledge of safety guidelines / practices
  • Knowledge of basic medical terminology and human anatomy to document patient information using standard language / medical terminology
  • Understanding of policies / procedures that apply to patient care
  • Understanding of managed care practices / contract provisions to evaluate appropriateness of services (e.g., contracted providers, financial implications, relevant regulations)
  • Ability to work 4 days of the week, part time, between Monday - Friday
Preferred Qualifications:
  • Bachelor’s Degree (or higher)
Soft Skills:
  • Excellent verbal communication, telephone etiquette and interpersonal skills
  • Strong customer service orientation
  • Ability to work independently
  • Ability to multi-task; think and act quickly in an emergency situation
Careers with LHI. Our focus is simple. We’re innovators in cost-effective health care management. And when you join our team, you’ll be a partner in impacting the lives of our customers, and employees. We’ve joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We’re located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We’re supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission-driven focus. For you, that means one incredible team and a singular opportunity 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: LHI, Allied Health Professional, Health care, healthcare, medical terminology, human anatomy, patient care, medical terminology, contract provisions, part time

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