Billing Representative

This position is Remote in MST or CST Time Zones, OR in one (1) of the following states: WA, OR, NV, MI, IN, OH, WV, PA, VT, ME, NH, MA, RI, CT, NJ, DE, MD, DC, VA, NC, SC, GA, or FL. You will have the flexibility to work remotely* as you take on some tough challenges.

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.  

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 CST (flexible). It may be necessary, given the business need, to work occasional overtime. 

This will be on the job training and the hours during training will be aligned with your schedule.

     

Primary Responsibilities:

• Reconcile payments from the bank to accounts balances in Specialty platform
• Develop relationships with payers to obtain remits and resolve root causes
• Assure that timely and accurate follow up if performed on any remittance issues
• Identify issues/trends and escalate to Supervisor / Manager when assistance is needed.
• Provide exceptional Customer service to internal and external customers.
• Work with offshore partners to ensure that reconciliations are complete and accurate
• Develop relationships with other departments to provide feedback about root cause issues
• Adhere to Regulatory / Payer Guidelines and policies & procedures.
• Other duties as assigned.  

    

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 experience working in Microsoft office, specifically Microsoft Excel, Microsoft Outlook, and Microsoft Word
• 2+ years of experience working with cash applications, billing, collections, and/or accounts receivable within the healthcare insurance industry
• Ability to read and interpret EOBs
• Intermediate level skill in Microsoft Excel (using filters, sorting, conditional formatting, basic formulas)
• Ability to work any 8-hour shift between the hours of 8:00 am – 5:00 pm CST (flexible) from Monday – Friday. It may be necessary, given the business need, to work occasional overtime.

    

Preferred Qualifications:

• Specialty Pharmacy experience
• Knowledge of NDC, ICD-10, and HIPAA  

    

Telecommuting Requirements:

• Reside within Mountain or Central Time Zones, OR in one (1) of the following states: Washington, Oregon, Nevada, Michigan, Indiana, Ohio, West Virginia, Pennsylvania, Vermont, Maine, New Hampshire, Massachusetts, Rhode Island, Connecticut, New Jersey, Delaware, Maryland, District of Columbia, Virginia, North Carolina, South Carolina, Georgia, or Florida
• 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  

    

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 hourly pay for this role will range from $17.74 – $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

     

     

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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