Billing Representative

This position is Remote in Eastern Time Zone. You will have the flexibility to work remotely* as you take on some tough challenges.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

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.

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 (40 hours/week) 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 - 3:30 pm EST (Flexibility). 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 during normal business hours.

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 research 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 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 OR equivalent work experience
• Must be 18 years OR older
• 1+ years of customer service or billing experience
• Proficiency with Windows personal computer applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
• Keyboard and navigation skills and ability to learn new computer programs
• Experience working with Microsoft Excel (filtering, sorting, working within tables)
• Reside within EST time zone
• Ability to work full-time (40 hours/week) 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 - 3:30 pm EST (Flexibility). It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• 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 experience in A/R, Billing, and Customer Service, Insurance, or Healthcare
• Medical terminology acumen and experience

Telecommuting Requirements:

• Reside within Eastern Time Zone
• 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 $17.98 - $32.12 per hour 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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