Billing Representative

Telecommuting Position

This position is national remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. We're a dynamic partnership formed by Quest and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 am - 6:00 pm. It may be necessary, given the business need, to work occasional overtime. We offer weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities

• Perform research on assigned payer guidelines when processing appeals, corrected claims or denial reasons
• Stay up to date on all payer requirements and changes
• Focus efforts on decreasing the Accounts Receivable, increasing cash, and/or reducing bad debt
• Interpret explanation of benefits for appropriate follow up action
• Utilize automation tools to verify eligibility, claim status and/or to obtain better billing information
• Review and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing
• Communicate and collaborate with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding
• Work on various other projects as assigned/needed
• Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance
• Focused efforts on increasing cash and reducing bad debt
• Interpret Explanation of Benefits for appropriate follow up action
• Contact Third Party carriers to follow up on denied and unresponded claims
• May have contact with insurance carriers, clients, patients and/or other outside sources
• Regular research involving both the web and billing systems
• Maintain Compliance and HIPAA standards at all times
• Meet or exceed daily production standards
• Meet or exceed daily quality standards
• Ability to work on various other projects as needed

Required Qualifications

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of medical collections and/OR medical billing experience
• 1+ years of experience working with insurance companies on denied healthcare claims
• Experience correcting and appealing medical claims
• Experience with Microsoft Excel (data entry, sorting/filtering)
• Experience with Microsoft Word (creating and editing documents)
• Computer skills, including working knowledge of MS Windows and navigation, mouse and keyboarding skills
• Ability to work Monday - Friday, any of our 8-hour shift schedules during our normal business hours of 6:00 am - 6:00 pm. It may be necessary, given the business need, to work occasional overtime

Preferred Qualification

Medical terminology knowledge/experience

Knowledge of full version Adobe (creating and editing documents)

Telecommuting Requirements

• 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.

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). The hourly pay for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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 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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.