Billing Representative – Remote in Norristown, PA

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. 

Position Description:
Are you looking for a chance to get your foot in the door with a great company? You’ve found it here. Already one of the world’s leading health care companies, Optum, part of the UnitedHealth Group family of businesses, is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. Here, you’re not just working. You’re making great things happen for the people who rely on us for health care across the United States. You’re part of an elite team that’s equipped with the best tools and resources, the most thorough training and learning opportunities and a mission that can inspire you every day.
 
Who are we? Our Division within Optum partners with Quest Diagnostics 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. If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It’s an opportunity to do your life’s best work.
 
As a Billing Representative – Third Party you’ll play a critical role in creating a quality experience that impacts the financial well-being of our patients. You’ll be the expert problem solver as you work to quickly identify, analyze and resolve issues in a fast paced environment.  This is your chance to take your career to the next level as you support teams by reviewing, and investigating claims. Bring your listening skills, emotional strength and attention to detail as you work to ensure every claim has a fair and thorough review.

You will leverage your skills and have the ability to:

• Multi-task and work independently and as part of a team
• Demonstrate excellent communication, organization and problem solving
• Adapt to change in a fast-paced environment
• Join a cross functional focused team with many opportunities for cross-training and skill/career development

If selected for this position, it is required that you successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role. 

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 7:00 am – 6:00 pm EST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of paid training during normal business hours. 

If you are located in Norristown, PA, you will have the flexibility to work remotely* as you take on some tough challenges.  

 

Primary Responsibilities:

• Analyzes and applies denials to third party carriers in all media types.
• Complies with departmental Business Rules and Standard Operating Procedures.
• Focuses efforts on decreasing the Accounts Receivable, increasing cash, and / OR reducing bad debt.
• Interprets explanation of benefits for appropriate follow up action.
• Utilizes automation tools to verify eligibility, claim status and / OR to obtain better billing information.
• Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication.
• Reviews and researches denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing.
• Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.     
• Conducts data entry and re-work for adjudication of claims.
• Works on various other projects as needed.
• Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.

 

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 
• Experience with Microsoft Word (create correspondence and work within templates) and Microsoft Outlook (email and calendar management)
• Experience with working with Microsoft Excel (data entry, sort / filter, and work within tables)
• Keyboard and navigation skills and ability to learn new computer programs
• Ability to come onsite if needed for meetings in Norristown, PA
• Ability to work an 8-hour shift between the hours of 07:00 AM – 06:0 0PM EST from Monday – Friday including the flexibility to work occasional overtime based on business need

 

Preferred Qualifications:

• 1+ years of experience in A/R, Billing, and Customer Service, Insurance, OR Healthcare
• Medical terminology acumen and experience

 

Telecommuting Requirements: 

• Reside within a commutable distance from Norristown, PA 
• 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 

 

Soft Skills:

• Ability to adapt to changes
• Ability to develop and maintain client relationships
• Previous work experience in a fast paced environment requiring multi-tasking and problem solving skills

 

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

 

The hourly range for this role is $16.88 to $33.22 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.