Billing and Enrollment Specialist – 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 Billing and Enrollment Specialist position is responsible for the accurate review and handling of complex enrollment, accounts receivable, billing, and/or electronic eligibility issues or tasks.  This role also includes mentoring team members as a technical expert in all billing and enrollment functions, to include but not limited to error remediation, reviewing and updating standard operating procedures, and coaching.  Individuals in this role may also be required to attend meetings with key business partners both internal and external to help ensure key metrics and service levels are maintained.

 

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

 

Primary Responsibilities: 

• Acts as a technical expert for Commercial Billing, Accounts Receivable, Enrollment, and Electronic Eligibility functions (i.e. Help Desk Tickets, SOP and job aid updates, ART-Jira Automation submission)
• Proactively identifies solutions to non-standard requests
• Solves moderately complex problems to include but not limited to team questions, escalations, SharePoint requests, and Email questions
• Plans, prioritizes, organizes and completes work to meet established objectives
• Drive innovation and team efficiencies (Bright Ideas Program)
• Review team quality rebuttals and support team remediation plans/initiatives
• Assist with completion and review of Sarbanes Oxley or Board audits with internal and external customers
• OJT: Support individuals through the training program and on the floor by providing immediate feedback on work performed. Serve as a subject matter expert to clarify policies and procedures and provide information on observed trends and additional training opportunities
• Coach and develop team members as needed
• Back-up or provide support to include, but not limited to
• Supervisory tasks and/or meetings (i.e. inventory, huddles, resource meetings, etc.)
• Global Partners or Stateside, as needed
• Training Department
• Host/Attend meetings such as, but not limited to, business meetings – huddle, business partner calls, daily KMI Inventory, quality reviews, SOP meetings

 

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 above
• 2+ years experience with Medica Policies and Procedures from enrollments through the billing reconciliation process
• 1+ years experience in Medica Enrollment, Electronic Eligibility, & Billing operations
• Experience interpreting data and apply it to billing, enrollment, accounts receivable, and or reconciliation processes
• Working knowledge of COSMOS, AR:M, UNET/CDB, BRMS, EEMS, EDD/BEFM, ISET applications
• Ability to solve complex problems independently

 

Preferred Qualifications:

• 1+ years presenting within a matrixed environment
• Leadership roles
• Proven ability to self-direct and monitor complex work types while meeting specified deadlines
• Intermediate Experience with Excel (sorting, summing, and creating formulas, and V-Look-up)
• Experience with VISIO and process mapping
• Proven track record of submitting innovative ideas 

 

*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. 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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