Job Description: As a Healthcare Representative, you will interview and advocate for patients and their families to obtain maximum benefit coverage in a hospital or healthcare

This position is full time Saturday – Wednesday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 4:30 pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at Allegheny General Hospital 490 E North Ave Pittsburgh, PA

We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

Primary Responsibilities:

• Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage
• Complete applications for state and federal programs
• Review medical records and take all necessary actions to expedite benefit approval
• Adhere to company and legal standards regarding Protected Health Information (PHI), Personal Identifiable Information (PII), HIPAA, and Personnel Transaction Identifier (PTI)
• Maintain ongoing communication with government agencies regarding the status of claims
• Provide updates and assistance to hospital personnel and other Optum staff as needed
• Maintain documentation of status of claims and client contract on Optum and/or hospital computer systems
• Determine when to use a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records.
• Willing to work in a fast-paced hospital or healthcare environment

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
Must be 18 years of age or older
1+ years of healthcare customer service experience
Experience with Microsoft Office products
Ability to work on site at Allegheny General Hospital, 490 E North Ave Pittsburgh, PA 1521
Ability to travel up to 50%. Two days a week to local healthcare
Ability to work Saturday – Wednesday, 08:00AM – 04:30PM

Medical
Dental
Vision
PTO
Holidays