Part Time Patient Service Representative II

This position is Remote in Boston, MA. If you are located within commutable distance to the office at 1177 Boston Providence, Norwood, you will have the flexibility to work remotely* as you take on some tough challenges.

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

Under direct supervision, assists patients through management of incoming calls related to various appointment and medical care needs. The Patient Service Representative II plays an integral role as a member of the patients care team by screening all incoming calls and/or myhealth messages and helping complete the request with first call resolution or directing to another member of the interdisciplinary care team. Provides extraordinary customer service and strong problem solving skills to strengthen the patient/ care team relationship. Manges a high volume of calls most often from a remote setting for a defined service line and is responsible to organize and prioritizes action items following standard work, including allocating tasks to the appropriate member of the care team, and ensuring efforts are coordinated and avoid duplication. As a level II representative, utilizes advanced skill set to perform all duties of the Patient Service Representative I, consistently meets all performance expectations set forth by the service line and serves as resource and mentor for other Patient Service Representatives. Manages more complex work including support to multiple regions, specialties and/or service lines Must have clear verbal and written communication skills to ensure the patient and team members understand next steps.

This position is part time (24 hours / week). Employees are required to have flexibility to work any of our 8-hour shifts are available between 6:00 AM and 9:00 PM EST, seven days a week. The role totals 24 hours per week, worked over three days. Specific days will be discussed, but at least one weekend shift is required.

We offer 4 - 12 weeks of paid training. The hours during training will be 8:00 am to 4:30 pm, Monday - Friday (3 days a week). Training will be conducted virtually from your home. Must have the ability to come onsite during first week of training to pick up equipment and first day onsite (if external).

Primary Responsibilities

• Supports a high volume of calls typically for multiple regions, departments and/or service lines adhering to department productivity standards set forth by service line(s)
• May support additional patient inquiries such as myhealth Medical Advice messages requiring a higher level of critical thinking and evaluation to determine next steps in accordance with service line (s) standard work
• Maintains a higher degree of technical expertise than Patient Services Representative I and serves as role model to Patient Services Representative I's. Able to problem-solve and serve as a resource to other Patient Services Representatives
• Supports, mentors and trains Patient Service Level I staff
• Participates in problem solving activities, focusing on productivity and quality. Works with supervisors to ensure continuous improvement of the department
• Participates in special projects and ongoing programs unique to the department
• May represent department on groups and teams related to process improvement opportunities
• Assists with data collection activities and provide appropriate follow up for statistical reports or required studies, ensuring data is properly collected and accurate (e.g. service observations, telephone statistics)
• Screens all incoming patient inquires (through phone, or myhealth) to determine whether those inquiries can be appropriately handled by the Patient Service Representative or if they need to be directed to other team members. This includes chart review to identify previous activity that may have occurred related to the call
• Adheres to service line booking guidelines to ensure that clinic utilization is optimized safely and effectively as well as supports the needs of our patients
• Initiates request for forms, letters, medication renewals, referrals, prior authorizations, and any other administrative needs submitted by patients following standard work determined by service line and answers any corresponding questions. Understands all documents and processes
• Documents details of each call in the patients' electronic medical record using both service line documentation tools as well in addition to free text when appropriate to ensure coordination of care
• Reviews and facilitates the updating of missing /outdated information in the patient record with each call including demographics, primary care physician selection, and insurance
• Effectively deescalates issues with upset patients and practices. Uses advanced listening techniques to understand the issue and give patients options as they are available to help resolve and ensure satisfaction. May refer difficult or highly complex phone calls and issues to a supervisor
• Participates in resolving operational difficulties and communicates with supervisor regarding department issues/ problems and opportunities for improvement
• Develops and maintains effective and efficient communication with the patient, interdisciplinary team, department staff, providers, and other agencies
• Participates in problem solving activities, focusing on productivity and quality. Works with supervisors to ensure continuous improvement of the department
• Attends required team and/or regional meetings to learn new workflows and stay connected with teams working in a remote environment
• Performs other duties as assigned

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
• 2+ years of experience in a customer service role
• 2+ years of experience in healthcare field
• Technical proficiency in Microsoft, scheduling software and electronic medical records systems (Epic or equivalent)
• Ability to work weekends
• Ability to work part time (24 hours / week). Employees are required to have flexibility to work any of our 8-hour shifts are available between 6:00 AM and 9:00 PM EST, seven days a week. The role totals 24 hours per week, worked over three days. Specific days will be discussed, but at least one weekend shift is required

Preferred Qualifications

• 3+ years of experience in a clinical or customer service setting
• Problem solving and complex patient management skills
• Working knowledge of patient related documents

Telecommuting Requirements

• Reside within commutable distance to the office at 1177 Boston Providence, Norwood, MA
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills

• Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to re