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UnitedHealth Group Patient Service Specialist - Southborough, MA in Southborough, Massachusetts

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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Specialties has an immediate opening for a friendly, patient focused and detailed oriented Patient Service Specialist to join our team. The Patient Service Specialist is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals.

Location: 24 Newton Street First Floor Suite 1 Southborough, MA 01772. Maybe asked to float to our other locations as needed.

Department: Multi Specialties

Schedule: Monday – Friday 8:30 AM – 5:00 PM

Primary Responsibilities:

  • Verifies, re-verifies and authorizes patient insurance coverage and eligibility utilizing computer-based patient registration/scheduling system

  • Verifies and updates demographic, insurance, and other patient information

  • Confirms, collects, and posts patient co-payments and other outstanding balances

  • Addresses patient-care related telephone calls via an incoming work queue aligning with department metric

  • Identifies problem related priorities, and responds to emergency needs by contacting/interrupting physician/provider within guidelines

  • Enters new referrals or ensures that existing referral numbers are linked in the system to ensure managed care requirements

  • Provides patient education regarding managed care plans and referral process

  • Completes and maintains patient schedules. Schedules and coordinates patient visits, medical procedures for both inpatients and outpatients. Communicates with patients regarding all information related to scheduled appointments

  • Notifies providers, patients and others of changes such as new scheduling, re-scheduling, no-show, emergency appointments and add-ons

  • In patients when they enter the practice and check patients out and scheduled follow up appointments

  • Performs other duties as assigned

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

  • 401(k) 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:

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 experience in customer service, including the ability to multi-task and resolve patient concerns in a timely manner

  • Access to reliable transportation and the ability to travel 10% of the time to other locations as needed for coverage

  • Ability to work Monday – Friday between the hours of 8:30 AM – 5:00 PM at 24 Newton Street First Floor Suite 1 Southborough, MA 01772

Preferred Qualifications:

  • Beginner level of understanding of software applications such as Microsoft Word, Excel, Outlook, etc.

Soft Skills:

  • Ability to work independently and maintain good judgment and accountability

  • Demonstrated ability to work well with health care providers

  • Strong organizational and time management skills

  • Ability to prioritize tasks to meet all deadlines

  • Ability to work well under pressure in a fast-paced environment

  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

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.