Outpatient Registration Specialist
Medical receptionist job in Chandler, AZ
$2,000 Sign-On Bonus for External Candidates
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.
Responsible for providing patient-oriented service in a clinical or Emergency Department setting; performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment.
This position is full-time, 40hours/week. Employees are required to have flexibility to work any of our day/first shifts available Monday to Friday with occasional on-call weekend hours. It may be necessary, given the business need, to work occasional overtime and weekends. Our office is located at 1955 W. Frye Rd. Chandler, AZ.
New hire orientation will occur during the day shift for the first two weeks.
Primary Responsibilities:
Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
Gathers necessary clinical information and processes referrals, pre-certification, pre-determination, and pre-authorizes according to insurance plan requirements
Verifies insurance coverage, benefits and creates price estimates, reverifications as needed
Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
Generates, reviews and analyzes patient data reports and follows up on issues and inconsistencies as necessary
Maintains up-to-date knowledge of specific registration requirements for ED Registration
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: *************************
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)
1+ years of Customer Service experience such as hospital, office setting, customer service setting, or phone support
Ability to work full-time and have flexibility to work any of our first/day shift schedules
Ability to workday shift hours during the duration of new hire orientation (approximately the first 2 weeks)
Preferred Qualifications:
Experience with Microsoft Office products
Experience in a Hospital Patient Registration Department, Physician office or any medical setting
Experience in insurance reimbursement and financial verification
Experience in requesting and processing financial payments
Working knowledge of medical terminology
Ability to perform basic mathematics for financial payments
Understanding of insurance policies and procedures
Soft Skills:
Strong interpersonal, communication and customer service skills
Physical and Work Environment:
Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset
**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.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
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.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #RED
Auto-ApplyEngagement Overview - Scheduler
Medical receptionist job in Sunnyvale, CA
Must have skills:
Calendar Management
Participant Scheduling
Recruitment Coordination
Customer Service
Administrative Support
Patient Service Representative
Medical receptionist job in Baldwin Park, CA
Patient Services Registration Clerk - Onsite (Baldwin Park, CA)
Start: ASAP - 1/30/2026
Schedule: Monday-Friday, 8:30AM-5PM (no weekends)
Type: Contract (Bandwidth Support)
We are seeking an experienced Patient Services Registration Clerk to support a busy Hospital Surgery Department. The ideal candidate has 1-3 years of patient access or registration experience, preferably in a surgery clinic or hospital setting, and excels in customer service and front-office operations.
What You'll Do
Serve as first point of contact for patients arriving for surgery
Collect and enter patient demographics with a high level of accuracy
Obtain required signatures on consent and regulatory documentation
Conduct insurance verification and determine patient liability
Collect patient payments and follow cash-handling protocols
Provide exceptional customer service during high-volume surgery check-in
Prioritize workflows to support first-case start times
What You Need
High School Diploma or equivalent
1-3 years of related experience (patient access, registration, front desk, or public-facing healthcare role)
Knowledge of third-party insurance verification
Strong customer service and communication skills
Basic understanding of hospital registration processes
Comfortable with fast-paced, high-traffic environments
Epic experience preferred but not required
Work Environment
Business casual dress code
Paid employee parking
High-volume surgical department
Must maintain excellent attendance due to early case-start support
Medical Staff Coordinator
Medical receptionist job in San Jose, CA
The MSPRC Coordinator provides administrative and quality support for the Multi-Specialty Peer Review Committee (MSPRC) and related quality initiatives. This role manages committee operations, supports case review activities, ensures accurate documentation, and facilitates communication with providers. The position also supports select Medical Staff Office (MSO) functions, including committee coordination, credentialing data entry, and special projects.
Key Responsibilities
Committee & MSO Support
Prepare, distribute, and track meeting invitations and agendas for MSPRC meetings.
Compile and circulate pre-MSPRC case materials for committee members.
Record, finalize, and distribute meeting minutes.
Draft, proofread, and issue correspondence to providers regarding case outcomes or follow-up actions.
Maintain accurate case tracking logs and monitor case status updates.
Monitor and respond to MSPRC-related emails to ensure timely action.
Correspondence with providers regarding cases.
Generate and submit a monthly data report to the Medical Executive Committee (MEC).
Assist MSO team in special projects related to the credentialing and privileging process.
Quality & Clinical Review Support
Monitor referral emails and manage the intake of new case referrals.
Accept and log referrals from departments, staff, and physicians into RL data system.
Triage and manage case referrals, adding reviewer comments and categorizing appropriately.
Summarize case details to determine whether cases should advance to MSPRC, be redirected, or tracked for trend analysis.
Coordinate with reviewers, sending case summaries and collecting feedback.
Compile and prepare final case packets for MSPRC meeting review.
Extract case data and supporting information from the Electronic Medical Record (EMR).
Support the transition of current systems (ATLAS, MIDAS, IRIS) to the new RL system, ensuring data integrity and user readiness.
Required Qualifications
Bachelor's degree in a related field or equivalent experience/training
Minimum 1 year of experience supporting clinical committees
Ability to work independently and manage multiple priorities
Familiarity with case review processes and quality improvement activities
Background in quality and experience working in community hospital settings
Strong organizational skills with the ability to manage multiple deadlines
Excellent written and verbal communication skills
High attention to detail and ability to maintain confidentiality
Preferred Qualifications
Associate's or Bachelor's degree in Healthcare Administration or Nursing.
Familiarity with RL system, APeX EMR, and quality/risk management systems strongly preferred.
Looking for candidates who have experience in:
Peer Review coordination
Quality or Risk Management departments
Medical Staff Office (MSO) committee support
Handling clinical case review workflows
Managing physician communication, minutes, agendas, and confidential case packets
Using systems like RLDatix (RL), MIDAS, ATLAS, IRIS, or an EMR such as Epic/APeX
High level administrative support in a clinical or hospital environment
Compensation: $45-$50/hr
Exact compensation may vary based on several factors, including skills, experience, and education. Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
Patient Services Representative
Medical receptionist job in Pomona, CA
Job Title: Patient Services Representative
Work Schedule: On-site
Rate: $25.60/hour, Based on experience.
Responsibilities:
Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement.
Familiarity with payer guidelines such as Medicare, Medicaid, and commercial payers
Strong communication skills for payer interactions.
Proficiency in hospital billing systems and Microsoft Office.
Attention to detail and ability to analyze claim denials and payment variances.
Summary of Role:
Review hospital accounts receivable aging reports and prioritize collection efforts.
Contact insurance carriers to collect outstanding balances and resolve issues.
Knowledge in follow-up for institutional claims (UB04)
Investigate and appeal denied or underpaid claims to maximize reimbursement.
Coordinate with other departments, such as the billing team, to resolve discrepancies.
Document all collection activities in the hospital's system
Ensure compliance with HIPAA, hospital policies, and state/federal regulations.
Obtaining Eligibility via website/insurance portals, insurance customer service.
Education:
High school diploma or GED required.
Experience:
1-3 years in hospital accounts receivable, medical billing, or healthcare collections
About Maxonic:
Since 2002 Maxonic has been at the forefront of connecting candidate strengths to client challenges. Our award winning, dedicated team of recruiting professionals are specialized by technology, are great listeners, and will seek to find a position that meets the long-term career needs of our candidates. We take pride in the over 10,000 candidates that we have placed, and the repeat business that we earn from our satisfied clients.
Interested in Applying?
Please apply with your most current resume. Feel free to contact Jaspreet Singh (********************** / ************* for more details.
Patient Services Representative
Medical receptionist job in California
Department Medical City Camarillo Maravilla Ocean View Simi Valley - Madera Ventura Roberto S. Juarez Exempt No The Patient Services Representative (PSR) works under the supervision of the Health Center Manager. The PSR is the first point of contact for our patients and some of the duties include:
Greeting patients upon arrival and assisting them through the registration process.
Receives payments.
Completes patient's intake forms and determines eligibility for patients' ability to pay or their qualification in assistance programs.
Schedules and confirms appointments and works closely with the back-office to ensure an efficient and pleasant visit for our patients.
Benefits
This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.
Requirements
Must have a high school diploma or equivalent.
One year of experience working as a front desk receptionist in a medical setting.
Experience working with electronic health records and knowledge of Medi-Cal and insurance billing is highly desirable.
Bilingual in English and Spanish is preferred.
The ideal candidate will embody strong customer service and have a sincere desire to provide the utmost professional service and care to our diverse patient population.
How to Apply
Send applications or resume to: ********************* Fax: ************
Is this job listing for a Provider?
No
Wages
$21.00 - $28.28
Wage Type
Hourly
Job Listing Search Term
Operations
Receptionist
Medical receptionist job in San Francisco, CA
Receptionist (Tech Environment)
Duration: 6+ Months (with strong potential for extension)
We are seeking a Receptionist & Administrative Specialist to support daily office operations in a fast-paced tech company environment. This role requires a friendly, professional, and highly organized individual with strong communication skills and familiarity with Bay Area workplace culture.
You will serve as the face of the office, support administrative needs, and assist with internal coordination. The assignment is expected to extend based on performance and business needs.
Key Responsibilities
Greet visitors, guests, and vendors with a professional and welcoming demeanor.
Manage front desk operations, including answering incoming calls and overseeing mail and deliveries.
Provide general administrative support and coordinate daily office tasks.
Assist with planning and organizing internal events (team-building, happy hours, engagement activities).
Support scheduling, meeting coordination, and office calendar management.
Maintain an organized, positive, and professional office environment.
Communicate clearly with team members and management regarding scheduling and office updates.
Required Qualifications
Strong English communication skills (written and spoken).
Friendly, positive, and professional attitude.
Experience working as a receptionist or in a front office role.
Previous experience supporting a tech company or working in a tech environment (required).
Understanding of Bay Area workplace expectations and culture.
Proficiency with Microsoft Office Suite (Word, Excel, Outlook).
Reliable, punctual, and highly organized.
Preferred Qualifications
Experience in administrative support or event coordination.
Associate degree or diploma in Business Administration or a related field.
Prior experience working with Bay Area-based tech teams or offices.
Receptionist
Medical receptionist job in El Monte, CA
El Monte, CA
Salary: $18.00 - $20.00
Full Time
The primary purpose of your job position is to attend to and greet visitors and answer telephone. It is limited to clerical duties only and located and limited to the Reception/Administrative area.
***This position has no clinical involvement/duties of any kind***
Essential Duties and Responsibilities
Provide general administrative and clerical support.
Greet and welcome patients, clients, and other visitors with a friendly and positive demeanor.
Answer telephone calls and take messages or forward calls.
Check visitors in and direct or escort them to specific destinations;
Inform other employees of visitors' arrivals and cancellations.
Maintain visitor sign- in log.
Handle incoming and outgoing mail
Schedule appointments and maintain meeting room bookings.
Maintain and tidy the reception area.
Perform other duties as assigned.
Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.
Knowledge, Skills and Abilities
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from managers and employees.
Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
To perform this job successfully, an individual must have basic knowledge of Microsoft Suite products, clerical functions and multi-line phone system.
Education & Experience
Must possess, as a minimum, a high school diploma or GED.
Previous administrative or receptionist experience preferred
Scheduler DPNF
Medical receptionist job in Brawley, CA
Job Description: SNF Scheduler
Position Title: Scheduler Department: Nursing / Administration Reports To: Director of Staff Development (DSD) & Administrator Status: Full-Time
The Scheduler is responsible for creating and maintaining accurate and compliant staffing schedules for Nursing, CNA, and FSA departments in a Skilled Nursing Facility (SNF). This role ensures adequate staffing to meet resident care needs, supports payroll and business office functions, and collaborates closely with the Director of Staff Development (DSD) and Nursing Leadership. The Scheduler must demonstrate strong organizational skills, attention to detail, and the ability to work in a fast-paced environment with frequent changes. A strong commitment to the company's mission, values, and standards of ethical behavior. Project a professional image aligned with company values and promote a collaborative, team -oriented environment. Ensure all residents are treated with fairness, dignity, and respect; always protect resident rights. Comply with all facility and departmental policies, procedures, and regulatory requirements.
Key Responsibilities
Scheduling & Staffing
Create and maintain monthly work schedules for Nursing, CNA, and FSA staff.
Process time-off requests, shift trades, schedule changes, and availability updates with oversight from the DSD.
Take the on-call staffing phone every other weekend and respond to call-offs, emergencies, and coverage needs.
Manage daily staffing operations, including:
Daily sign-in sheets
Daily assignment sheets
Daily Shower schedules
Daily and weekly PPD projections per CDPH staffing requirements
Ensure staffing meets state and federal guidelines for resident acuity and required nursing hours.
Communicate all schedule updates, open shifts, and staffing changes to appropriate department heads and unit managers.
Assist the DSD in assigning and reassigning staff to units based on resident needs, skill levels, and compliance standards.
Payroll & Business Office Support
Maintain comprehensive Knowledge of payroll processes, legal guidelines, facility pay practices, and relevant systems
Process payroll accurately and on schedule in accordance with facility and legal standards.
Ensure all payroll records, reports, and documents remain confidential and securely stored.
Audit and reconcile staff timecards to ensure accuracy prior to payroll submission.
Work with the department leads to correct missed punches, schedule variances, overtime, and attendance concerns.
Assist with workers' compensation claims by ensuring timely medical evaluation, documentation and follow up.
Accounts payable
Develop a deep understanding of AP functions, company policies, vendor relationships, and relevant regulations,
Forward invoices for coding and approval; verify accuracy in pricing, quantities, and discounts.
Accurately enter invoices in the AP system
Compliance & Reporting
Report incidents, resident concerns, and suspected non-compliance in accordance with facility policies and state/federal regulations.
Maintain confidentiality and secure handling of employee and resident information.
Ensure schedules, staffing records, and payroll documentation are stored and maintained according to facility policy.
Assist with state, federal, and corporate audits as needed.
Collaboration & Communication
Work closely with the DSD, DON, ADON, and Administrator regarding staffing needs and coverage.
Communicate respectfully and professionally with staff regarding schedule expectations, attendance, and facility policies.
Participate in leadership meetings as required.
Maintain positive working relationships with all departments and support facility teamwork.
Qualifications
Minimum Requirements (recommended):
High school diploma or equivalent required; college coursework preferred.
Prior experience in staffing, scheduling, payroll, or healthcare operations (SNF experience highly preferred).
Prior experience in payroll, timekeeping systems.
Strong computer skills, including scheduling software, Microsoft Office, and timekeeping systems.
Knowledge of CDPH, CMS, and state staffing regulations preferred.
Ability to work independently, prioritize responsibilities, and handle frequent interruptions.
Strong communication, customer service, and conflict-resolution skills.
Work Requirements
Must pass background checks and health screenings
May be required to work extended hours, weekends, holidays, or alternate shifts.
Must be able to speak, read, and write English proficiently.
Willingness to accept feedback, follow directions, and contribute as a cooperative team member.
Ability to work in a fast-paced environment.
Other Duties
Support additional administrative and business office functions as assigned.
Report incidents, resident concerns, and compliance issues by facility procedures.
Maintain strict adherence to HIPAA, OSHA, Infection Control, and other regulatory standards.
Use supplies and equipment safely and efficiently, minimizing waste.
Collaborate with consultants and implement changes or recommendations.
Perform other related duties as required to maintain smooth facility operations.
Auto-ApplyCoordinator Patient Services - Maumee, OH
Medical receptionist job in Boulevard, CA
Rotating Occasional Saturday Morning Shifts.
Provides clerical and environmental support to clinical staff and patients, enhancing ambulatory clinic flow.
Job Description:
Essential Functions:
Prepares and maintains patient electronic medical records, collecting patient information and documentation.
Answers phone calls, schedules appointments and maintains patient records.
Maintains cleanliness and orderliness of the clinic, including exam rooms and waiting areas.
Stocks and orders medical and office supplies as needed.
Follows all safety and infection control protocols to ensure a safe and healthy environment for patients and staff.
Education Requirement:
Successful completion of an approved unit coordinator or clerk course, or equivalent experience, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
Excellent communication and customer service skills.
Excellent computer skills.
Demonstrated traits of teamwork, cooperation, and a positive attitude.
Ability to multitask and prioritize.
Experience:
Previous health care experience, preferred.
Physical Requirements:
OCCASIONALLY: Blood and/or Bodily Fluids, Chemicals/Medications, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Lifting / Carrying: 21-40 lbs, Lifting / Carrying: 41-60 lbs, Machinery, Patient Equipment, Pushing / Pulling: 0-25 lbs
FREQUENTLY: Bend/twist, Flexing/extending of neck, Interpreting Data, Reaching above shoulder, Repetitive hand/arm use, Seeing - Far/near, Squat/kneel, Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Peripheral vision, Problem solving, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
Auto-ApplyCredentialing Specialist
Medical receptionist job in El Centro, CA
Job DescriptionSalary: 18-20 per hour
Would you like an exciting position as a Credentialing Specialist with growth potential with a talented group of teammates who genuinely cares about you as much as they do patient care? Then Southern California Spine is the place for you! Join a team based approach in Pain Management where you a have a direct impact in preserving life for our patients. SoCal Spine has a broad spectrum of benefits to match any competitor out there. Come work alongside our world class Doctors in our clinic outpatient setting where we focus on You everyday. We offer competitive compensation and benefits packages. Please apply!
Credentialing Specialist
Our company is hiring for a credentialing specialist as a part time contractor . To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for credentialing specialist
Participating in the development and implementation of credentialing processes and procedures
Credentialing of physicians and allied health professionals
Collecting and maintaining an accurate practitioner database and analyzing verifications
Credentialing physicians and allied health professionals
Collecting and maintaining an accurate practitioner database
Credential Provider through PECOS, MEDICARE, and variety of insurance payers.
Manage and Maintain Provider CAQH
Correct payments or denials if necessary and appropriate, in accordance with claim adjudication guidelines
Diffuse irate callers by attentive listening, maintaining a professional tone, and acknowledging their concerns by paraphrasing
Exercise good judgment, interpret medical claim data and contracts, and remain knowledgeable in related company policies and procedures
Maintain teamwork, customer service production and quality standards to assure timely, efficient and accurate call resolution
Maintaining compliance with regulatory and accrediting bodies
Qualifications for credentialing specialist
Analyzing verifications
Establishing and maintaining a system for timely processing of credentialing and re-credentialing files in accordance with the company, CMS and NCQA policies
Ensuring that providers/HDOs on the company's participating panel are in compliance with the company policies and NCQA and state and federal regulatory standards
Maintaining current knowledge of NCQA, State and Federal requirements
Performing data entry in and maintaining currency of the database for tracking practitioner / HDO credentialing and re-credentialing information
Initiating and conducting primary source verification of provider credentials
Licensing or Certifications for Credentialing Coordinator
List any licenses or certifications required by the position:CPCS, CPMSM, NAMSS, GOLD, ECFMG, DEA, BEP/WBE/MBE, NEMT, CPMSC, CMSC
Education for Credentialing Coordinator
Some education preferred,Collage and Associate Degreein
Education, Associates, General Education, Medical, Business, Healthcare, Health, High School Education, Health Care, Health Administration
Skills for Credentialing Coordinator
Desired skills forcredentialing coordinatorinclude:
Medical terminology
Statutes and laws relating to credentialing
NCQA
Microsoft Office
Accreditation and certification procedures
Practitioner credentialing and primary source verification of medical/dental licensure
Privileging
Related credentialing
Requirements and hospital operations
Title 22
Performing other related tasks as directed by the Associate Executive Director of Quality Management, the Credentialing Director and the Credentialing Team Lead
Perform primary source verification on required elements
Complete data entry and upkeep of provider information in the credentialing database
Patient Registration Specialist
Medical receptionist job in Phoenix, AZ
$2,000 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.
As Patient Registration Specialists, we are often the first point of contact for our patients and their families. As such we value representing an important first impression. Our professionalism, expertise and dedication help ensure that our patients receive the quality of care they need. We are diligent in obtaining complete and accurate insurance and demographic information in a timely manner, this enables us to provide high quality, compassionate health care service to all who need them, regardless of their ability to pay.
This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work on any of our 8-hour shift schedules during our normal business hours of 7:00am - 5:00pm, Monday through Friday. No weekends or major holidays are required. It may be necessary, given the business need, to work occasional overtime, however, and voluntary OT is available after 90 days. We are located at the Cancer Institute at St. Joseph's Hospital and Medical Center in the heart of Downtown Phoenix at 625 N 6th St, Phoenix, AZ 85004. We have onsite café and provide 2 weeks of paid training. Performance-based bonuses are also available.
Primary Responsibilities:
Communicate directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
Respond to patient and caregivers' inquiries always in a compassionate and respectful manner
Obtain Benefits and Insurance verification
Point of Service Cash Collection, Co - Pays, Deductibles and Coinsurance
Accurate Computer Data Entry
Scan documents
Organize and schedule patient services and appointments for referrals
Register and Pre - Register Patients for Emergency, Elective and Scheduled Cases
Work with various systems including Patient Registration and Electronic Medical Record
Generate, review and analyze patient data reports and follow up on issues and inconsistencies as necessary
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 in a Hospital Patient Registration Department, Physician office or any medical setting
1+ years of customer service experience
1+ years of experience with insurance policies and procedures
Ability to work dayshifts, Monday through Friday 7am - 5pm (Shift is assigned within those hours)
Preferred Qualifications:
Experience submitting authorization requests and / or processing referrals
Previous experience in collecting patient copays, deductibles, etc
Previous working experience with Google products
Working knowledge of facility pricing structure and cost estimates
Knowledge of ICD9 (10) and CPT terminology
Understanding of Medical Terminology
Bilingual fluency with English & Spanish
**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.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
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.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #RED
Auto-ApplyMedical Staff Coordinator
Medical receptionist job in Santa Rosa, CA
The MSPRC Coordinator provides administrative and quality support for the Multi-Specialty Peer Review Committee (MSPRC) and related quality initiatives. This role manages committee operations, supports case review activities, ensures accurate documentation, and facilitates communication with providers. The position also supports select Medical Staff Office (MSO) functions, including committee coordination, credentialing data entry, and special projects.
Key Responsibilities
Committee & MSO Support
Prepare, distribute, and track meeting invitations and agendas for MSPRC meetings.
Compile and circulate pre-MSPRC case materials for committee members.
Record, finalize, and distribute meeting minutes.
Draft, proofread, and issue correspondence to providers regarding case outcomes or follow-up actions.
Maintain accurate case tracking logs and monitor case status updates.
Monitor and respond to MSPRC-related emails to ensure timely action.
Correspondence with providers regarding cases.
Generate and submit a monthly data report to the Medical Executive Committee (MEC).
Assist MSO team in special projects related to the credentialing and privileging process.
Quality & Clinical Review Support
Monitor referral emails and manage the intake of new case referrals.
Accept and log referrals from departments, staff, and physicians into RL data system.
Triage and manage case referrals, adding reviewer comments and categorizing appropriately.
Summarize case details to determine whether cases should advance to MSPRC, be redirected, or tracked for trend analysis.
Coordinate with reviewers, sending case summaries and collecting feedback.
Compile and prepare final case packets for MSPRC meeting review.
Extract case data and supporting information from the Electronic Medical Record (EMR).
Support the transition of current systems (ATLAS, MIDAS, IRIS) to the new RL system, ensuring data integrity and user readiness.
Required Qualifications
Bachelor's degree in a related field or equivalent experience/training
Minimum 1 year of experience supporting clinical committees
Ability to work independently and manage multiple priorities
Familiarity with case review processes and quality improvement activities
Background in quality and experience working in community hospital settings
Strong organizational skills with the ability to manage multiple deadlines
Excellent written and verbal communication skills
High attention to detail and ability to maintain confidentiality
Preferred Qualifications
Associate's or Bachelor's degree in Healthcare Administration or Nursing.
Familiarity with RL system, APeX EMR, and quality/risk management systems strongly preferred.
Looking for candidates who have experience in:
Peer Review coordination
Quality or Risk Management departments
Medical Staff Office (MSO) committee support
Handling clinical case review workflows
Managing physician communication, minutes, agendas, and confidential case packets
Using systems like RLDatix (RL), MIDAS, ATLAS, IRIS, or an EMR such as Epic/APeX
High level administrative support in a clinical or hospital environment
Compensation: $45-$50/hr
Exact compensation may vary based on several factors, including skills, experience, and education. Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
Medical Biller II
Medical receptionist job in Brawley, CA
Job Description
This position is responsible for supporting the Professional Medical Billing team by posting payments, capturing/working denials, and working outstanding accounts receivable (A/R) balances and other assigned duties as needed. They will be responsible for assisting in analysis and resolutions of clinic reimbursement issues, clinical statistics, recommending CDM updates for clinic services and assisting Management with other billing responsibilities as assigned.
ESSENTIAL FUNCTIONS:
Perform posting charges and completion of claims to payers on time
Review transmitted claim via clearing house, working rejected claims as needed
Review patient bills for accuracy and completeness, and obtain any missing information
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
Follow up on unpaid claims within a standard billing cycle timeframe
Check each insurance payment for accuracy and compliance with contract discount
Call insurance companies regarding any discrepancy in payments, if necessary
Identify and bill secondary or tertiary insurances
Review accounts for insurance or patient follow-up
Research and appeal denied claims
Answer all patient or insurance telephone inquiries on assigned accounts
Update billing software with rate changes
Reading and interpreting insurance explanation of benefits (EOBs)
Understanding and knowledge of ICD-10, CPT Codes, and HCPCS Level II Codes
Posting ERAs, paper checks, credit cards, and balancing lock box
Provides guidance to clinical staff in regards to insurance updates, edit updates, and payer updates
Assist Medical Biller 3 with assigned duties
Minimal supervision may be required by billing manager
OTHER RESPONSIBILITIES:
All other duties as required and assigned.
Maintains follow-up until records are completed and billed
Ability to multitask and meet deadlines
Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act
Utilized EMR, including patient accounting and registration systems to their full capacity.
Flexible with varying hours based on the needs of the department.
Good written and verbal communication skills required for contacts.
Within other departments, patients, families, the community, and medical staff
SUPERVISORY RESPONSIBILITIES: None
EDUCATION, KNOWLEDGE, SKILLS, ABILITIES, AND EXPERIENCE:
Education: high school graduate or equivalent required.
At least one to years of experience working with Medicare, Medi-Cal, and Insurance.
Knowledge of ICD-10 & CPT-4 coding functions.
Knowledge of Medical Terminology.
Mathematical ability required to review statistical data on various financial records.
Experience in data entry (IBM compatible computer).
Expertise in the electronic and paper systems used in billing health care systems
Close attention to detail and excellent problem-solving skills
Ability to use standard office equipment such as calculator, copier, FAX, etc.
LICENSES AND CERTIFICATIONS:
Basic Life Support
AGE OF POPULATION SERVED:
Newborn Infant/Pediatric Adolescent Adult Geriatric All X No Patient Care
PHYSICAL REQUIREMENTS:
Occasional travel between training locations required.
Travel within the communities required
Sitting for extended periods of time
Stooping and bending are required.
Dexterity of hands and fingers to operate a computer keyboard, mouse, power tools, and to handle other computer components.
Some lifting of more than 50 lbs. may be required.
Computer entry
Associate Patient Care Coordinator
Medical receptionist job in Phoenix, AZ
$2,000 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 Patient Access Representative is responsible for providing patient-oriented service in a clinical or front office setting; performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting, and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment.
Primary Responsibilities:
Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
Gathers necessary clinical information and processes referrals, pre-certification, pre-determination, and pre-authorizes according to insurance plan requirements
Verifies insurance coverage, benefits and creates price estimates, reverifications as needed
Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
Responsible for collecting data directly from patients and referring to provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
Generates, reviews, and analyzes patient data reports and follows up on issues and inconsistencies as necessary
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: *************************
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)
1+ years of customer service experience in a hospital, office setting, customer service setting, or phone support role
Must be 18 years of age or older
Preferred Qualifications:
Experience with Microsoft Office products
Experience in a Hospital Patient Registration Department, Physician office or any medical setting
Experience in insurance reimbursement and financial verification
Experience in requesting and processing financial payments
Working knowledge of medical terminology
Understanding of insurance policies and procedures
Ability to perform basic mathematics for financial payments
Soft Skills:
Strong interpersonal, communication and customer service skills
Physical Demands:
Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset
**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.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
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.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #RED
Auto-ApplyMedical Staff Coordinator
Medical receptionist job in San Francisco, CA
The MSPRC Coordinator provides administrative and quality support for the Multi-Specialty Peer Review Committee (MSPRC) and related quality initiatives. This role manages committee operations, supports case review activities, ensures accurate documentation, and facilitates communication with providers. The position also supports select Medical Staff Office (MSO) functions, including committee coordination, credentialing data entry, and special projects.
Key Responsibilities
Committee & MSO Support
Prepare, distribute, and track meeting invitations and agendas for MSPRC meetings.
Compile and circulate pre-MSPRC case materials for committee members.
Record, finalize, and distribute meeting minutes.
Draft, proofread, and issue correspondence to providers regarding case outcomes or follow-up actions.
Maintain accurate case tracking logs and monitor case status updates.
Monitor and respond to MSPRC-related emails to ensure timely action.
Correspondence with providers regarding cases.
Generate and submit a monthly data report to the Medical Executive Committee (MEC).
Assist MSO team in special projects related to the credentialing and privileging process.
Quality & Clinical Review Support
Monitor referral emails and manage the intake of new case referrals.
Accept and log referrals from departments, staff, and physicians into RL data system.
Triage and manage case referrals, adding reviewer comments and categorizing appropriately.
Summarize case details to determine whether cases should advance to MSPRC, be redirected, or tracked for trend analysis.
Coordinate with reviewers, sending case summaries and collecting feedback.
Compile and prepare final case packets for MSPRC meeting review.
Extract case data and supporting information from the Electronic Medical Record (EMR).
Support the transition of current systems (ATLAS, MIDAS, IRIS) to the new RL system, ensuring data integrity and user readiness.
Required Qualifications
Bachelor's degree in a related field or equivalent experience/training
Minimum 1 year of experience supporting clinical committees
Ability to work independently and manage multiple priorities
Familiarity with case review processes and quality improvement activities
Background in quality and experience working in community hospital settings
Strong organizational skills with the ability to manage multiple deadlines
Excellent written and verbal communication skills
High attention to detail and ability to maintain confidentiality
Preferred Qualifications
Associate's or Bachelor's degree in Healthcare Administration or Nursing.
Familiarity with RL system, APeX EMR, and quality/risk management systems strongly preferred.
Looking for candidates who have experience in:
Peer Review coordination
Quality or Risk Management departments
Medical Staff Office (MSO) committee support
Handling clinical case review workflows
Managing physician communication, minutes, agendas, and confidential case packets
Using systems like RLDatix (RL), MIDAS, ATLAS, IRIS, or an EMR such as Epic/APeX
High level administrative support in a clinical or hospital environment
Compensation: $45-$50/hr
Exact compensation may vary based on several factors, including skills, experience, and education. Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
Medical Biller II
Medical receptionist job in Brawley, CA
This position is responsible for supporting the Professional Medical Billing team by posting payments, capturing/working denials, and working outstanding accounts receivable (A/R) balances and other assigned duties as needed. They will be responsible for assisting in analysis and resolutions of clinic reimbursement issues, clinical statistics, recommending CDM updates for clinic services and assisting Management with other billing responsibilities as assigned.
ESSENTIAL FUNCTIONS :
Perform posting charges and completion of claims to payers on time
Review transmitted claim via clearing house, working rejected claims as needed
Review patient bills for accuracy and completeness, and obtain any missing information
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
Follow up on unpaid claims within a standard billing cycle timeframe
Check each insurance payment for accuracy and compliance with contract discount
Call insurance companies regarding any discrepancy in payments, if necessary
Identify and bill secondary or tertiary insurances
Review accounts for insurance or patient follow-up
Research and appeal denied claims
Answer all patient or insurance telephone inquiries on assigned accounts
Update billing software with rate changes
Reading and interpreting insurance explanation of benefits (EOBs)
Understanding and knowledge of ICD-10, CPT Codes, and HCPCS Level II Codes
Posting ERAs, paper checks, credit cards, and balancing lock box
Provides guidance to clinical staff in regards to insurance updates, edit updates, and payer updates
Assist Medical Biller 3 with assigned duties
Minimal supervision may be required by billing manager
OTHER RESPONSIBILITIES :
All other duties as required and assigned.
Maintains follow-up until records are completed and billed
Ability to multitask and meet deadlines
Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act
Utilized EMR, including patient accounting and registration systems to their full capacity.
Flexible with varying hours based on the needs of the department.
Good written and verbal communication skills required for contacts.
Within other departments, patients, families, the community, and medical staff
SUPERVISORY RESPONSIBILITIES: None
EDUCATION, KNOWLEDGE, SKILLS, ABILITIES, AND EXPERIENCE:
Education: high school graduate or equivalent required.
At least one to years of experience working with Medicare, Medi-Cal, and Insurance.
Knowledge of ICD-10 & CPT-4 coding functions.
Knowledge of Medical Terminology.
Mathematical ability required to review statistical data on various financial records.
Experience in data entry (IBM compatible computer).
Expertise in the electronic and paper systems used in billing health care systems
Close attention to detail and excellent problem-solving skills
Ability to use standard office equipment such as calculator, copier, FAX, etc.
LICENSES AND CERTIFICATIONS:
Basic Life Support
AGE OF POPULATION SERVED :
Newborn Infant/Pediatric Adolescent Adult Geriatric All X No Patient Care
PHYSICAL REQUIREMENTS :
Occasional travel between training locations required.
Travel within the communities required
Sitting for extended periods of time
Stooping and bending are required.
Dexterity of hands and fingers to operate a computer keyboard, mouse, power tools, and to handle other computer components.
Some lifting of more than 50 lbs. may be required.
Computer entry
Auto-ApplyPatient Registration Specialist
Medical receptionist job in Arizona
$2,000 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.
As Patient Registration Specialists, we are often the first point of contact for our patients and their families. As such we value representing an important first impression. Our professionalism, expertise and dedication help ensure that our patients receive the quality of care they need. We are diligent in obtaining complete and accurate insurance and demographic information in a timely manner, this enables us to provide high quality, compassionate health care service to all who need them, regardless of their ability to pay.
This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work on any of our 8-hour shift schedules during our normal business hours of 7:00am - 5:00pm, Monday through Friday. No weekends or major holidays are required. It may be necessary, given the business need, to work occasional overtime, however, and voluntary OT is available after 90 days. We are located at the Cancer Institute at St. Joseph's Hospital and Medical Center in the heart of Downtown Phoenix at 625 N 6th St, Phoenix, AZ 85004. We have onsite café and provide 2 weeks of paid training. Performance-based bonuses are also available.
Primary Responsibilities:
Communicate directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
Respond to patient and caregivers' inquiries always in a compassionate and respectful manner
Obtain Benefits and Insurance verification
Point of Service Cash Collection, Co - Pays, Deductibles and Coinsurance
Accurate Computer Data Entry
Scan documents
Organize and schedule patient services and appointments for referrals
Register and Pre - Register Patients for Emergency, Elective and Scheduled Cases
Work with various systems including Patient Registration and Electronic Medical Record
Generate, review and analyze patient data reports and follow up on issues and inconsistencies as necessary
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 in a Hospital Patient Registration Department, Physician office or any medical setting
1+ years of customer service experience
1+ years of experience with insurance policies and procedures
Ability to work dayshifts, Monday through Friday 7am - 5pm (Shift is assigned within those hours)
Preferred Qualifications:
Experience submitting authorization requests and / or processing referrals
Previous experience in collecting patient copays, deductibles, etc.
Previous working experience with Google products
Working knowledge of facility pricing structure and cost estimates
Knowledge of ICD9 (10) and CPT terminology
Understanding of Medical Terminology
Bilingual fluency with English & Spanish
**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.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
Auto-ApplyMedical Staff Coordinator
Medical receptionist job in Fremont, CA
The MSPRC Coordinator provides administrative and quality support for the Multi-Specialty Peer Review Committee (MSPRC) and related quality initiatives. This role manages committee operations, supports case review activities, ensures accurate documentation, and facilitates communication with providers. The position also supports select Medical Staff Office (MSO) functions, including committee coordination, credentialing data entry, and special projects.
Key Responsibilities
Committee & MSO Support
Prepare, distribute, and track meeting invitations and agendas for MSPRC meetings.
Compile and circulate pre-MSPRC case materials for committee members.
Record, finalize, and distribute meeting minutes.
Draft, proofread, and issue correspondence to providers regarding case outcomes or follow-up actions.
Maintain accurate case tracking logs and monitor case status updates.
Monitor and respond to MSPRC-related emails to ensure timely action.
Correspondence with providers regarding cases.
Generate and submit a monthly data report to the Medical Executive Committee (MEC).
Assist MSO team in special projects related to the credentialing and privileging process.
Quality & Clinical Review Support
Monitor referral emails and manage the intake of new case referrals.
Accept and log referrals from departments, staff, and physicians into RL data system.
Triage and manage case referrals, adding reviewer comments and categorizing appropriately.
Summarize case details to determine whether cases should advance to MSPRC, be redirected, or tracked for trend analysis.
Coordinate with reviewers, sending case summaries and collecting feedback.
Compile and prepare final case packets for MSPRC meeting review.
Extract case data and supporting information from the Electronic Medical Record (EMR).
Support the transition of current systems (ATLAS, MIDAS, IRIS) to the new RL system, ensuring data integrity and user readiness.
Required Qualifications
Bachelor's degree in a related field or equivalent experience/training
Minimum 1 year of experience supporting clinical committees
Ability to work independently and manage multiple priorities
Familiarity with case review processes and quality improvement activities
Background in quality and experience working in community hospital settings
Strong organizational skills with the ability to manage multiple deadlines
Excellent written and verbal communication skills
High attention to detail and ability to maintain confidentiality
Preferred Qualifications
Associate's or Bachelor's degree in Healthcare Administration or Nursing.
Familiarity with RL system, APeX EMR, and quality/risk management systems strongly preferred.
Looking for candidates who have experience in:
Peer Review coordination
Quality or Risk Management departments
Medical Staff Office (MSO) committee support
Handling clinical case review workflows
Managing physician communication, minutes, agendas, and confidential case packets
Using systems like RLDatix (RL), MIDAS, ATLAS, IRIS, or an EMR such as Epic/APeX
High level administrative support in a clinical or hospital environment
Compensation: $45-$50/hr
Exact compensation may vary based on several factors, including skills, experience, and education. Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
Patient Registration Clerk
Medical receptionist job in Brawley, CA
The Registration Clerk serves as the first point of contact for patients and visitors, providing exceptional customer service in both English and Spanish. This role is responsible for patient registration, verifying insurance, demographic information, proper authorizations, collecting payments, and explaining financial policies. In addition, the representative operates the hospital switchboard, answering and directing calls, and coordinating communication across departments. The position requires professionalism, attention to detail, and the ability to communicate effectively with patients, families, and staff, while maintaining confidentiality and adhering to HIPAA regulations.
ESSENTIAL FUNCTIONS:
Maintain a 95% better benchmark registration accuracy in patient demographics, insurance data entry, and validating insurance coverage using proper patient identification. Documents account activity and financial status as necessary in notes.
Responsible for daily registrations, which include ancillary services, Emergency Room Registration, and House Admissions, determining services needed for surgery patients, and pre-registration services, i.e., surgical consents.
Comply with EMTLA rules and regulations regarding patient emergent services.
Obtain necessary treatment consent forms related to services, including Important Messages about Medicare Rights and MOON, and be able to explain thoroughly. Complete the MSP form, and Medicare ABN and is able to explain to Medicare patients
Scan all paper documents, patient identification, insurance cards, and Power of Attorney (as applicable) into HIM electronic systems or any other information needed.
Responsible for daily financial functions such as balancing cash drawers and accepting payments/deposits needed for services, cash, credit cards, checks, and money orders. Generates receipts for patients or guarantors and non-patient customers. Complies with daily cash collection journals, logs, and deposits into the safe, always providing a witness.
Practices patient confidentiality and security of patient health information. Provides feedback on the quality, accuracy, and timeliness of other departments related to the admission and billing process.
Performs general clerical functions: answers telephone calls efficiently, politely, and quickly. Complies with necessary reports as directed.
It uses the HIS Affinity system to its full capacity and continues to grow in the use of computers as its capabilities expand.
Demonstrates an understanding and regularly uses the Admission Policies and Procedures in performing job duties and instructs patients.
Must be able to report Emergency patients and admission to review organizations and HMOs after hours and on Holidays.
OTHER RESPONSIBILITIES:
Customer Service: Promotes a positive patient experience, interfacility, and interdepartmental relations in a caring environment.
Is responsible for monitoring all alarm panels in the Switchboard area.
Performs other related duties to facilitate workflow and promote health care.
Temporary relief for switchboard and Concierge Services
SUPERVISORY RESPONSIBILITIES: None
EDUCATION, KNOWLEDGE, SKILLS, ABILITIES, AND EXPERIENCE:
High school education or equivalent education/work experience. Experience in a patient registration, medical office, or health insurance environment and knowledge of medical terminology.
Mathematical ability required to review statistical data on various financial records.
Ten key-adding machines, typing experience, and computer friendliness are required. Accuracy is more important than speed-knowledge of filing systems and copy machines.
Bilingual (English/Spanish)
LICENSES AND CERTIFICATIONS: None
Auto-Apply