Patient Access Lead

UnitedHealth Group Inc

Phoenix, AZ

JOB DETAILS
SKILLS
Behavioral Health, Blog, Business Operations, Child Protection/Welfare, Clinical Support, Co-Payments, Compensation and Benefits, Customer Escalations, Customer Support/Service, Demographics, Documentation, Emergency Care, Employee Assistance Plan, Employee Benefits, Fellowship, Financial Management, Health Plan, Healthcare, Insurance, Leadership, Maternal-Fetal Medicine, Medical Coding, Medical Records, Medical Treatment, Nursing, Patient Assessment, Patient Registration, Pharmacy, Sales, Sales Management, Stock Purchase Plans, Team Lead/Manager, Time Management, Worker's Compensation
LOCATION
Phoenix, AZ
POSTED
30+ days ago

Patient Access Lead at UnitedHealth Group

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Patient Access Lead

Requisition number 2343893

Job category Healthcare Delivery

Primary location Phoenix AZ

Date posted 03172026

Overtime status Non-exempt

Travel No

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2000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

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.

ThePatient Access Leadfunctions as an integral member of the team and is the first point of contact for all people inquiring about the providers practice.

The primary role is to organize the practices daily activities and paperwork.

Schedule Thursday 600PM - 12AM Friday - Sunday 12PM - 12AM

Primary Responsibilities

Maintains up-to-date knowledge of specific registration requirements for all areas including but not limited to Main Admitting OP Registration ED Registration Maternity and Rehabilitation units

Ensures complete accurate and timely entry of demographic information into the ADT system at the time of registration

Properly identifies the patient to ensure medical record numbers are not duplicated

Responsible for reviewing assigned accounts to ensure accuracy and required documentation is obtained and complete

Meet CMS billing requirements for the completion of the MSP issuance of the Important Message from Medicare issuance of the Observation Notice and other requirements as applicable and documenting completion within the hospitals information system for regulatory compliance and audit purposes

Collects and enters required data into the ADT system with emphasis on accuracy of demographic and financial information to ensure appropriate reimbursement

Carefully reviews all information entered in ADT on pre-registered accounts. Verifies all information with patient at time of registration corrects any errors identified

Identify all forms requiring patientguarantor signature and obtain signatures

Ensures all required documents are scanned into the appropriate systems

Identifies all appropriate printed material hand-outs for the patient and provides them to the patientguarantor Patient Rights and Responsibilities HIPAA Privacy Act notification Advance Directive etc.

Follows downtime procedures by manually entering patient information identifying patients MRN in the MPI database assigning a financial number and accurately entering all information when the ADT system is live

Follows EMTALA-compliant registration steps for both Emergency Department and Labor and Delivery areas

Assesses self-pay patients for presumptive eligibility and when appropriate initiates the process

In the Emergency Department follows protocol for special cases including but not limited to 5150 Sexual Assault Response Team SART Domestic Violence patients Child Protective Services incarcerated patients Worker Compensation patients auto accidents animal bite reporting etc. as required

Monitors and addresses tasks associated with the MedeAnalytics PAI tool

Follows approved scripting verify insurance benefits on all patients registered daily by using electronic verification systems or by contacting payers directly to determine the level of insurance coverage

Thoroughly and accurately documents verification information in the ADT system identifying deductibles copayments coinsurance and policy limitations

Obtains referral authorization and pre-certification information documents this information in the ADT system and submits notices of admission when necessary

Verifies medical necessity checks have been completed for outpatient services. If not completed and only when appropriate uses technology tool to complete medical necessity check andor notifies patient that an ABN will need to be signed. Identifies payer requirements for medical necessity

Verifies patient liabilities with payers calculates patients payment and requests payment at the time of registration

Identifies any outstanding balance due to previous visits notifies patient and requests patient payment

Sets up payment plans for patients who cannot pay their entire current copayment andor past balance in one payment

Thoroughly and accurately documents the conversation with the patient regarding financial liabilities and agreement to pay

When collecting patient payments the department policy and procedure follows regarding applying payment to the patients account and providing a receipt for payment

Clarifies division of financial responsibility if payment for services is split between a medical group and an insurance company. Ensure this information is clearly documented in the ADT system

When necessary escalates accounts to appropriate Patient Registration leadership staff based on outcomes of the verification process and patients ability to pay clinics

What are the reasons to consider working for UnitedHealth Group

Put it all together - competitive base pay a full and comprehensive benefit program performance rewards and a management team who demonstrates their commitment to your success. Some of our offerings include

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

Medical Plan options along with participation in a Health Spending Account or a Health Saving account

Dental Vision Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

401k Savings Plan Employee Stock Purchase Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits pet insurance legal insurance LTC Insurance etc.

More information can be downloaded at httpuhg.hruhgbenefits

Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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

About the Company

U

UnitedHealth Group Inc

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

https://www.youtube.com/watch?v=5PbNyi2IDkY

Caring. Connecting. Growing together.

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about what we offer.

Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. Learn more about our culture.

Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. Discover all the ways you can learn, grow and develop.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
FOUNDED
1977
WEBSITE
http://careers.unitedhealthgroup.com/