UnitedHealth Group
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. 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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.
This position is full-time. Employees are required to work our normal business hours of 8:00 AM – 5:00 PM PST (Pacific Standard Time zone) including the flexibility to work occasional overtime based on business need.
We offer 3 weeks of training. The days during training will be from Monday – Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Performs collecting, reconciliation, research, correspondence and independent problem solving
- Reconciles complex, multi – payment accounts
- Submits appeal letters on underpaid claims as directed. Interprets payer contracts to determine if payment and adjustment is accurate
- Reviews EOB’s for denials, along with posting corrected adjustments in order to balance accounts. Identifies needs for process improvements and creating / enhancing processes in the PFS department
- Promotes positive teamwork within department and among employees. Works with all hospital departments for proper coding and billing procedures
- Follows all departmental, hospital, and regulatory policies and procedures, including HIPAA requirements
- Utilizes top customer service skills with all customers: patients, government agencies and commercial insurances.
- Reconciles accounts on a daily basis to determine underpayment, overpayment or contractual adjustment correction
- Utilizes technical ability and understanding of applicable insurance contracts and regulations
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 higher)
- 1+ years of recent hospital OR physicians billing, collection, OR Medicare / Commercial billings experience
- Ability to work any shift between the hours of 8:00 AM – 5:00 PM PST (Pacific Standard Time zone) including the flexibility to work occasional overtime based on business need
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service