Employer: UnitedHealth Group
Combine two of the fastest – growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making Healthcare data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.
All of us have a short list of the things that make a job great. If your list includes being able to make a difference, count us in as your next place to work. UnitedHealth Group is a Fortune 10 company leader in health care at a time when health care is evolving for everyone. Our billing teams are part of an important chain of events that impact the lives of our members in positive ways. Join us and discover the exceptional training, support and opportunities to grow that you’d expect from a Fortune 10 company.
As a Billing Representative you will be under supervision of the Billing Supervisor of Physician Services. You will be responsible for follow up billing and denials of professional claims for one or more payors. Ascertains that all appropriate Physician charges are coded and billed correctly to obtain accurate reimbursement. The primary goal of this position is to ensure compliant and accurate claims are submitted. Must contain high quality of customer service, when calling health plans and patients. Work cooperatively within specified team functions to ensure this standard is met.
What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. You’ll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 7:00 AM – 5:00 PM EST (3x different & available shifts: 7:00 AM – 3:30 PM, 7:30 AM – 4:00 PM, 8:00 AM – 4:30 EST). It may be necessary, given the business need, to work occasional overtime or weekends. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Provide follow-up on accounts within the time limits set by the Carrier to ensure timely and appropriate reimbursement as monitored by Management
- Responsible for posting correspondence and rejections from insurance carriers and distribution of vouchers to appropriate staff each day as received
- Identify payer, contract or system issues and advise Supervisor – Physician Services to make necessary corrections
- Contact patients, employers or insurance companies to obtain required data for claims follow-up and overpayments
- Answer all inquiries regarding accounts, patient inquiries within 48 hours of receipt, monitored by feedback from Customer Service, patients and phone log documentation
- Provide back up support in the absence/vacancies of team members and / or other billing personnel 100% of the time as observed by Management
- Responds appropriately to Customer Service requests within 48 hours of receipt as monitored by feedback from our Customer Service unit and phone log
- Work dedicated EPIC WQ’s timely as monitored by management
- Reviews payment vouchers to ensure proper reimbursement is being received in accordance with our contracts, as observed by management
- Consistently ensures information known about the Customer is kept private and confidential as observed by Management and feedback from other staff and/or patients
- Complies with all privacy (HIPAA) regulations and adheres to Bassett’s confidentiality policies. Success is monitored by Management through feedback from co-workers and / or patients
- Verifies insurance coverage, corrects and updates the patient records within 48 hours of receipt and shares the information with our Hospital Billing Staff as observed by Management and feedback from co-workers
- Performs other duties as requested and observed by supervisor or manager
Required Qualifications:
- High School Diploma / GED (or higher) OR equivalent years of work experience
- Computer skills, including working knowledge of Microsoft Windows and navigation, mouse, and keyboarding skills
- Availability to work any 8-hour (40 hours / week) shift between the site operating hours of 7:00 AM – 5:00 PM EST (3x different & available shifts: 7:00 AM – 3:30 PM, 7:30 AM – 4:00 PM, 8:00 AM – 4:30 EST)
Preferred Qualifications:
- 1+ years of experience with Insurance Claim OR Office experience
- Familiar with Office / Billing Operations
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
Soft Skills:
- Good data entry / typing, analytical, organizational and telephone skills
- Effective communication skills, maintaining high quality customer service
- Must be flexible to changing work environment and able to process high volumes of claims / paperwork