Employer: UnitedHealth Group
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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 this group and we’ll have an impact on you. Apply now and discover the exceptional training, support, and opportunities to grow that you’d expect from a Fortune 10 company.
This position is expected to have excellent reasoning skills based on knowledge of hospital and clinic operations as it pertains to billing claims to Insurance Health. Individual should be familiar with the conventions and instructions provided within the ICD disease classifications and CPT coding guidelines. Should also be able to reason through insurance claims differences as defined by benefit and plan differences. The Billing Representative is responsible for resolution of A / R in a complete, accurate, and timely manner while verifying that industry rules and regulations, including, local, state, and federal regulations, regarding billing and collection practices are followed, as well as with established internal policy and procedure.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of hours of 8:00 AM – 4:30 PM PST.
We offer 2 weeks of training. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Verifies appropriate CPT, ICD, and HCPCS codes to accurately file claims for service using the medical record as supporting documentation
- Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information
- Responsible for working EDI claim rejections in a timely manner
- Receives and interprets Explanation of Benefits (EOB) that supports payments from Insurance Carriers, Medicare, or patients. Able to apply correctly to claims / fee billed
- Processes incoming EOBs to ensure timely insurance filing or patient billing. May require correction of data originally submitted for a claim or Coordination of Benefits with secondary insurance
- Responsible for reducing accounts receivables by accurately and thoroughly working assigned accounts in accordance with established policy and procedures
- Responsible for keeping current with changes in their respective payer’s policies and procedures
- Communicates with the Hospital and Clinics to provide or obtain corrected or additional data
- Able to prepare documents for training or for establishing procedures for clinics
- Answers patient and customer questions regarding billing and statements
- Performs all other related duties as assigned
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. Also, you’ll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.
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)
- 2+ years of Relevant experience in the Healthcare Industry
- Proficiency with Microsoft Office including Microsoft Word (ability to create, edit, save, and send documents), Microsoft Excel (ability to create, edit, save, and send spreadsheets), and Microsoft Outlook (ability to create, edit, save, and send correspondence)
- Ability to work any 8-hour shift between the hours of 8:00 AM – 4:30 PM PST
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:
- Skill in the operation of billing software and office equipment
- Skill in processing claims efficiently and on a timely basis
- Solid customer service skills and excellent interpersonal skills
- Strong attention to detail and professional customer service skills
Taking care of business at UnitedHealth Group translates to more meaning and impact as you help improve the lives of millions. Join us. Learn more about how you can start doing your life’s best work.SM
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $15.00 to $25.19. The salary range for Connecticut / Nevada residents is $15.77 to $27.79. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.