Billing Service Specialist

This position is Field Based and requires regular travel to various locations as part of your daily responsibilities.

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

As a Billing Service Specialist, this position will be based in the Houston, Texas area and be responsible for representing Optum360/Quest Diagnostics to our clients in a professional manner.  This role will streamline, improve and enhance the billing experience for physicians, office staff and patients through education while reducing revenue loss, denials and bad debt for Optum360 and Quest.  The Billing Service Specialist will be required to work in the field (outside an office) at least 90% of the time in and around the Houston, Texas area, visiting 6-8 clients in a day with one day per week for office work. Some overnight travel may be required.

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 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities:

• Improve billing data quality through the education and account management of customers, with efforts and emphasis to reduce missing information, bad debt, non-supported diagnosis/non-covered test write-offs, and third party denials.
• Conduct Client visits. Account visits will be prioritized based on evaluation of trends that show education needs in:
  • Medicare Limited Coverage Policy/ABN
  • Medicaid requirements/policies
  • Regional specific third party requirements/policies
  • Ordering provider registration (PECOS)
  • Missing demographic/insurance information for ordering physician and patient
• Support Commercial Sales team with client training and education as required for large new customers and/or new billing initiatives.
• Act as liaison for customer billing problems as necessary and communicate those to the appropriate person or department for resolution.
• Drive improvement to defined goals.
• Document all significant client interaction in CRM application (Salesforce.com).
• Other duties as assigned including special projects, etc.

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 of age OR older
• 2+ years of experience with healthcare insurance medical billing/claims
• Experience working with Microsoft Office Suite
• Ability to accommodate up to 75% travel with overnight stays included
• Reliable transportation
• Must have Valid driver’s license with proof of insurance
• Reside within Houston, Texas
• Ability to work 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 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• Experience working with data – pulling and analyzing information to understand root cause/trends/opportunities
• 3+ years of experience with face-to-face customer relationship management
• Knowledge of Medicare/Medicaid coverage policies
• Experience with medical coding

Soft Skills:

• Strong Written/Verbal Communication skills
• Strong organization/time management skills
• Strong problem solving skills
• Ability to develop and sustain good customer relationships
• Working independently and as part of a team

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). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 – $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law 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, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

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