Charge Entry Representative

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together. 

The Charge Entry Rep is responsible for posting all office and hospital charges to patient accounts after checking for completeness and accuracy. The Charge Entry Rep has knowledge of ICD10, CPT coding, and Medical Insurance fundamentals and has solid data entry skills.

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 2 - 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities:

• Works independently, takes initiative in completing assignments
• Assists co-workers whenever possible to achieve office goals
• Understands and follows established guidelines pertaining to charge entry
• Checks appointments with no charges daily to ensure that all charges for have been entered
• Runs audit reports each day and makes necessary corrections
• Demonstrates proficiency in posting procedures performed for the session into the patient account in the computer, using ICD-10 and CPT coding guidelines established by the Practice to ensure accurate reimbursement
• Works with a sense of urgency with regard to assigned work
• Reports weekly on Provider Submission status to Supervisors
• Attends all appropriate staff meetings and training sessions as required
• Interacts on a daily basis with Physicians and interdepartmental staff

Success Criteria

• Accountability- Takes responsibility for outcomes of personal actions, decisions, and behaviors.  Provides consistent, timely, high-quality work.  Completes work by established time lines and routinely uses time effectively. Meets annual mandatory education and employee health requirements in the time frame prescribed.  Is punctual, observes prescribed work hours and meal periods and has an acceptable overall attendance record. Adheres to safety guidelines and reports environmental issues to Facilities
• Adaptability- Accepts and effectively adapts to changes in position, department and organization. Responds to change positively with a genuine desire to support the organization and accepting work assignment adjustments as needed
• Communication- Communicates clearly and effectively both orally and written. Demonstrates active listening and respect for other's ideas, problems, and suggestions. Responds in a prompt and friendly manner to requests and inquiries. Respects confidentiality and is HIPAA compliant in all aspects of communication regarding patients, employees and the organization. Utilizes C.L.E.A.R. and H.E.A.R.T
• Computer Literacy- Uses computers and software relevant to position effectively and efficiently in the working environment
• Customer/Patient Focus- Knows the customer (internal and external) business needs and acts accordingly. Provides consistent, quality service to all patients and customers
  Job Knowledge/Technical Skill- Effectively performs essential job functions on a consistent basis. Demonstrates the practical and technical skills and knowledge required for the job. Demonstrates initiative consistent with job expectations to improve performance
• Professionalism- Takes pride in presenting a professional image and behavior. Maintains professional appearance by adhering to dress code and wearing identification badge. Acts in accordance with the Core Values
• Teamwork/Cooperation- Creates a positive work environment and influences the behavior of other employees by their supportive and positive approach to daily activities within the work environment.
• Assists coworkers in response to fluctuations in workloads. Maintains positive work relationships by being courteous and respectful. Builds trust and works with integrity. Accepts criticism, is open to new ideas, and handles conflict constructively and diplomatically

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
• 1+ years of coding, billing, and/or charge entry experience in the healthcare field 
• Experience in a medical office
• Knowledge of ICD10, CPT, HCPCS
• 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 7:00 am - 6:00 pm EST. It may be necessary, given the business need, to work occasional overtime.  

Preferred Qualifications:        

• CPC
• Knowledge of medical terminology 
• Insurance claims experience 
• Experience with EPIC  

Telecommuting Requirements:

• 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 $18 - $32 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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