Healthcare Representative - Charleston, SC
Company: Optum
Location: Charleston
Posted on: May 26, 2025
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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 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. -
As a Healthcare Representative, you will interview and advocate for
patients and their families to obtain maximum benefit coverage in a
hospital or healthcare setting
This position is full time Monday - Friday. Employees are required
to have flexibility to work any of our 8-hour shift schedules
during our normal business hours of 8am - 4:30pm. It may be
necessary, given the business need, to work occasional overtime.
Our office is located at MUSC Medical University of SC, 169 Ashley
Ave, EH 691 Charleston, SC 29425.
We offer 4 weeks of on-the-job training. The hours of training will
be aligned with your schedule.
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Primary Responsibilities:
Interview patients in a hospital setting and work effectively with
hospital personnel to assist patients with obtaining maximum
benefit coverage
Complete applications for state and federal programs
Review medical records and take all necessary actions to expedite
benefit approval
Adhere to company and legal standards regarding Protected Health
Information (PHI), Personal Identifiable Information (PII) and
Personnel Transaction Identifier (PTI)
Maintain ongoing communication with government agencies regarding
the status of claims
Provide updates and assistance to hospital personnel and other
Optum staff as needed
Maintain documentation of status of claims and client contract on
Optum and/or hospital computer systems
Determine when to use a Federal, State or Local program application
based upon medical definition of disability as it relates to body
systems and to functions of daily living, and information contained
in medical records.
Willing to work in a fast-paced hospital or healthcare
environment
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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
1+ years of healthcare customer service or human services patient
interaction experience.
Experience with Microsoft Office products
Ability to travel up to 10% to local healthcare facilities
Ability to work onsite at MUSC Medical University of SC, 169 Ashley
Ave Charleston, SC 29425
Ability to work Monday-Friday- 8am-4:30pm
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Preferred Qualifications:
1+ years of face-to-face patient interaction within a
healthcare/hospital or human services environment
Experience communicating with patients & staff with various
educational & socio-economic backgrounds
Knowledge of medical terminology
Knowledge of federal and state programs that will benefit coverage
for clients
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Soft Skills:
Organizational skills
Communication skills
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Physical and Work Environment:
General office demands
Prolonged periods of standing and walking in hospital
facilities
Adherence to facility masking requirements at all times
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The hourly range for this role is $16.00 to $28.85 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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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
Keywords: Optum, Summerville , Healthcare Representative - Charleston, SC, Healthcare , Charleston, South Carolina
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