Healthcare Representative – Charleston, SC

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. 

Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.  

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

This position is full-time, Sunday – Thursday. Employees are required to have flexibility to work during our normal business hours of 8:00 am – 4:30 pm. Our office is located at MUSC Medical University of SC, 169 Ashley Ave Charleston, SC 29425

We offer 4 weeks of paid training during normal business hours.

 

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) 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 Change Healthcare staff as needed
• Maintain documentation of status of claims and client contract on Change Healthcare 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 OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of face-to-face patient interaction within a healthcare / hospital OR human services environment
• Experience with Microsoft Office products
• Previous experience communicating with patients and staff with various educational and socio-economic backgrounds
• Ability to travel up to 10% to local healthcare facilities
• Ability to work onsite at MUSC Medical University of SC, 169 Ashley Ave Charleston, SC 29425
• Ability to work 8:00 am – 4:30 pm from Sunday – Thursday 

 

Preferred Qualifications:

• Bilingual fluency in English and Spanish
• Knowledge of medical terminology
• Knowledge of federal and state programs that will benefit coverage for clients

 

Soft Skills:

• Organizational skills
• Communication skills

 

Physical and Work Environment:

• General office demands
• Prolonged periods of standing and walking in hospital facilities
• Adherence to facility masking requirements at all times