Bilingual (English/Spanish) Healthcare Representative- Charleston, SC

Requisition Number: 2249737
Job Category: Medical & Clinical Operations
Primary Location: Charleston, SC, US

Doctor consulting nurse at nurse station.

Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you’re fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast – growing environment

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.

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 Tuesday-Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:30am – 5pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at MUSC Medical University of SC, 169 Ashley Ave Charleston, SC 29425.

We offer 4 weeks of on-the-job training. The hours of 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) 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
  • Bilingual fluency in English and Spanish
  • 1+ years of face-to-face patient interaction within a healthcare/hospital or human services environment
  • Knowledge of medical terminology
  • Previous experience communicating with patients & staff with various educational & socio-economic backgrounds
  • Experience with Microsoft Office products
  • 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 Tuesday- Saturday 8:30am-5pm

 

Preferred Qualifications:

  • Knowledge of federal and state programs that will benefit coverage for client

 

Soft Skills:

  • Excellent organizational skills
  • Strong 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

 

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.

 

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Additional Job Detail Information

Requisition Number 2249737

Business Segment Optum

Employee Status Regular

Job Level Individual Contributor

Travel Yes, 10 % of the Time

Country: US

Overtime Status Non-exempt

Schedule Full-time

Shift Day Job

Telecommuter Position No

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