Billing Representative – Remote in CST or EST

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 Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 08:30AM – 05:00PM EST. It may be necessary, given the business need, to work occasional overtime. 

We offer 6 weeks of on-the-job training. The hours of training will be aligned with your schedule.

If you are located in CST or EST Time zone, you will have the flexibility to work remotely* as you take on some tough challenges. 

  

Primary Responsibilities:

• Handle a heavy call volume including inbound calls via phone queue and make outbound calls to clients, patients, carriers and / or any internal or external source as needed to obtain missing or additional information.
• Researches, obtains, and enters missing information / demographics for completion of accessions. 
• Demonstrates competency in eligibility, billing and receivable systems and associated applications. 
• Educates external customers on how to provide complete billing information and avoid additional contacts for information.
• Informs customers of billing problem / issue findings and resolution as appropriate.
• Answer inbound calls via phone queue and make outbound calls to clients, patients, carriers and / or any internal or external source as needed to obtain missing or additional information.
• Responds to account inquires through written correspondences. 
• Handles sensitive client and patient interactions.   
• Maintains timely, accurate documentation for all appropriate transactions. 
• Generates and / or distributes reports and documentation to internal or external client to obtain missing information.
• Reports problems, errors, and denial trends to management including PHI breaches.
• 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 years of working experience
• Must be 18 years or older
• 1+ years healthcare billing experience
• Knowledge of EOB’s (explanation of benefits)
• 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• 1+ years of working experience with Microsoft Tools including Microsoft Word (creating memos, writing), Microsoft Excel (creating spreadsheets, filtering, navigating reports), and Microsoft Outlook (setting calendar appointments, email)
• Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
• Ability to work Monday-Friday, 08:30AM – 05:00PM EST

  

Preferred Qualifications:

• Experience in a call center environment within the Healthcare / Insurance billing industry
• Medical terminology acumen and experience
• Billing OR collections experience and understands multiple billing requirements across various payers and states

  

Telecommuting Requirements:

• Reside within CST or EST 
• 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:

• Demonstrated ability to listen skillfully, collect relevant information, build rapport, and respond to customers in a compassionate manner
• Proficient conflict management skills including the ability to resolve stressful situations

  

*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.

  

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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