Lead Patient Service Specialist - Worcester, MA
Company: Optum
Location: Worcester
Posted on: May 12, 2025
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Job Description:
$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
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. -
The Lead Patient Service Specialist for Reliant Medical Group (Eye
Services) directly oversees a team of Patient Service Specialists.
They coordinate work schedules and assignments based on the needs
of the department, identify and address gaps in performance and
provide performance feedback through routine coaching sessions.
They work as a member of the team to ensure target metrics for the
department are met. The Lead Patient Service Specialist provides
feedback to supervisor or manager for yearly performance reviews
and participates in the disciplinary process as directed by
supervisor or manager. They provide substantial and valuable
feedback in process evaluation and department meetings and huddles,
work to resolve patient and employee complaints by investigation,
and act as a liaison to other resources and departments to ensure
resolution. -
Location: -5 Neponset St. Worcester, MA 01606. This role will
require coverage at the -Southborough, Westborough, Holden, and
Auburn locations, as needed
Schedule: -Monday through Friday, 8-hour shifts between the hours
of 6:30 AM and 6:30 PM EST
Primary Responsibilities: -
Performs all cross-functional duties of a Patient Service
Specialist (PSSI, II and III) as required or directed
Creates new provider templates and makes recurring edits to
existing templates under the supervision of a supervisor or
manager, adhering to departmental efficiency standards
Processes personal in-basket and department pool encounters in Epic
in a timely and appropriate manner. Monitors shared pools and
delegates as needed to ensure completion and timely patient
responses
Assists manager/supervisor in assuring that assigned employees are
provided with appropriate resources, materials, and methods
Achieves and retains super-user status on current system software
to best manage provider's appointment schedules. Provides training
and support to all members of the site/department on the procedures
and current software
Identifies and corrects unsatisfactory conditions that may arise
within the scope of the position and notifies the
manager/supervisor or others of any discrepancies
Generates and manages department-level reporting to ensure
resolution (EFC Report, Co-pay collection rates, etc.) -
Participates in Patient Service Specialist interviews and maintains
knowledge of behavioral interviewing techniques. Makes candidate
selection in conjunction with supervisor/manager
Builds staff schedules with a working knowledge of the needs of the
practice and the allocation of resources to avoid disruptions in
service in person or on the telephone
Accesses call recording software. Can apply known service standards
to a call using the Evaluation Application. Deliver effective
feedback to PSS
Relays work instruction from the manager/supervisor. Distributes
and monitors the flow of work for an assigned group of
employees
Ensures smooth patient flow. Ensures area is covered to meet
patient needs as required or directed. Provides recommendations to
manager/supervisor for the most efficient utilization of assigned
employees
Provides manager/supervisor with input into performance
evaluations, employee schedules, new hires, etc.
Participates in a variety of special projects such as reviewing
workflows, coverage, etc., as required or directed
Serves as a role model for other staff members. Displays behaviors
and attitudes consistent with ensuring the ideal patient
experience
Floats to different sites as required or directed
Complies with health and safety requirements and with regulatory
agencies such as DPH, etc. -
Complies with established departmental policies, procedures, and
objectives
Participates in learning opportunities provided through the
learning management system -
Participates in departmental meetings and huddles as directed by
department leadership -
Regular, reliable, and predictable attendance is required
Performs other similar and related duties as required or
directed
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 higher)
2+ years of experience working in a healthcare or health insurance
setting
1+ years of experience with electronic health records
1+ years of experience working with metrics, such as phone queue
statistics and co-pay collection rates
1+ years of supervisory experience or experience as a senior staff
member, team leader, or Patient Service Specialist III
Preferred Qualifications:
4+ years of experience working in a healthcare or health insurance
setting
Experience with EPIC
Ability to demonstrate leadership, task delegation and work
coordination of a team
Ability to think critically and exercise sound judgment and manage
multiple priorities and deadlines
Excellent communication, customer service, interpersonal and
organizational skills
Willingness to learn and be an active member of a healthcare
team
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**PLEASE NOTE** The sign-on bonus is only available to external
candidates. - Candidates who are currently working for UnitedHealth
Group, UnitedHealthcare or a related entity in a full time, part
time or per diem basis ("Internal Candidates") are not eligible to
receive a sign on bonus. -
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The salary range for this role is $19.86 -to $38.85 -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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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.
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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
Keywords: Optum, Springfield , Lead Patient Service Specialist - Worcester, MA, Other , Worcester, Massachusetts
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