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Optum

Patient access representative

pittsfield, ME

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About this opportunity

Optum lists this Patient access representative opportunity in pittsfield, Maine. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Opportunities at Northern Light Health Caring. Connecting. Growing together. Primary Responsibilities: Performs insurance verification duties to financially clear the patient in advance of date of service Verifies healthcare coverage and benefits for applicable services, working with the patient, provider, and payer to ensure accurate information and needs are met in advance of service Ensures excellent customer service when assisting patients, providers, and other departments Collects and updates patient demographic and insurance information, making changes as necessary to ensure accuracy with insurance benefits, referrals, and authorizations Verifies precertification / authorizations for scheduled services utilizing internet sites, payer contacts, and software as appropriate Assesses coverage and benefits, and accurately determines patient responsibility as applicable Identifies self-pay patients and shares information with financial counseling for assistance with patient financial obligation and options Partners closely with the clinical, office, billing, and registration teams and works to review authorizations timely, as applicable Appropriately documents all conversations with insurance companies and health care facilities that pertain to the authorizations or

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