Senior Billing Representative – National Remote

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.

This position is full time. Employees are required to have flexibility to work our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of the training will be during our normal business hours.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities:

• Process review, data analysis and measurement
• Preparation of reports as needed by management
• Identification and communication of billing issues to management
• Collaborate with internal partners (e.g., brokers, account managers) and/or external customers/payers to resolve customer issues
• Prepares and coordinates presentations, trainings, etc; used as an educational resource
• Analyze relevant information to determine potential reasons for billing discrepancies
• Reconcile discrepancies identified within customer invoices/billing and reports
• May involve some interfacing with clients, managed care customers, IT resources and others when needed
• May involve implementation of new technologies and processes (includes testing and follow up)
• Schedule and ad hoc auditing of various systems and databases
• Assignment of special projects as needed

 

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
• Must be 18 years or older
• 2+ years of hospital billing experience
• 2+ years of experience in government billing (Medicare/Medi-Cal)
• Ability to work our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime.

 

Preferred Qualifications:

• 2+ years of experience working within collections
• EPIC experience
• Experience working with clients (patients, medical facilities, etc.)
• Experience using Microsoft Word (creating and editing documents), Microsoft Outlook (email and calendar), and Microsoft Excel (filter, edit, sort, creating spreadsheets, basic formulas)
• Knowledgeable about billing practices and process management concepts – this may include knowledge of Test pricing and CPT coding or reimbursement processes, 3rd party provider enrollments, claims submissions, EDI and HIPAA transactions and/or accounts receivables

 

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.

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy  

 

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C., Maryland Residents Only: The hourly range for this role is $19.47 to $38.08 per hour. 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.

 

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 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.

 

 

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.

 

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

 

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