Patient Financial Services Representative - Cuyahoga Falls, OH

Company: Optum
Location: Cuyahoga Falls
Posted on: May 26, 2025

Job Description:

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.
Interacts with patients to address a variety of patient billing inquiries and assists with resolution. Responsible for patient accounts and collection; ensures appropriate customer service interactions and excellent customer service.
This position is full time. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 AM - 5:00 PM including the flexibility to work the first 90 days onsite every day. It may be necessary, given the business need, to work occasional overtime. Employees are required to work some days onsite and some days from home.
We offer 2 weeks of paid on-the-job training. The hours of training will be 8:00 AM - 5:00 PM CST from Monday - Friday.
If you are within commutable distance to the office at 2750 Front St, Cuyahoga Falls, OH, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.
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Primary Responsibilities:

Interacts with patients and internal departments to address patient billing inquiries and ensure proper resolution

Verify insurance eligibility, initiates payment arrangements, generates itemized bills when appropriate and addresses unpaid and overdue balances

Analyzes and follows up on patient account balances, correcting information, billing or rebilling of insurance carriers as needed

Works patient accounts, credits and denials, under payments, correcting and re - billing COB / no coverage denials in an efficient and timely manner

Collects payments, post appropriate discounts and adjustments to patient accounts

Follows all customer service protocols when working patient accounts

Assures appropriate and timely documentation of all account activity. Work with bad debt vendors on patient issues and concerns

Understands and adheres to all patient account policies of Premiere Medical Resources

Population Specific Competency

The incumbent will have the ability to effectively interact with populations of the patient (and his or her representative) with a sensitivity to the communication needs (other language, deaf or blind) and with an understanding of their needs for self - respect and dignity

Commitment to Service Excellence

Committed to providing exceptional service to patients, visitors and internal / external contacts
Strives to provide the highest level of patient satisfaction with each interaction
Committed to treating co - workers with respect and dignity
Ensures a consistently positive experience for all patients, employees, and visitors

Attendance and Punctuality

Adheres to the hospital attendance policy and will make every effort to consistently be punctual when reporting to work and during daily activities

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The above stated duties are intended to outline those functions typically performed by the incumbent in this position. This description of duties is not intended to be all - inclusive nor to limit the discretionary authority of supervisors to assign additional tasks of a similar nature or level of responsibility.
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:

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• High School Diploma / GED OR equivalent work experience
  
• Must be 18 years of age OR older
  
• 2+ years of related experience, including billing in a physician office, billing company environment, OR past experience in medical collections
  
• Proficiency with keyboard and 10 key adding machine
  
• Computer literacy -
  
• Clerical skills and attention to detail -
  
• Communication skills
  
• Ability to work under pressure and meet deadlines
  
• Ability to work any of our shift schedules during our normal business hours of 8:00 AM - 5:00 PM including the flexibility to work the first 90 days onsite every day and occasional overtime based on business needs
  
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  Telecommuting Requirements:
  
  
  Reside within commutable distance to the office at 2750 Front St, Cuyahoga Falls, OH
  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
  
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  *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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  The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
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  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.
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  UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
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  UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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  #RPO #RED #RPOLinkedIn

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