Billing Representative, UnitedHealth Group

This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

Will serve as the Subject Matter Expert (SME) for billing team, with a focus on PBM billing. Responsibilities include daily billing/creating invoices as well as being responsible for level 2 or above tasks.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Reviews open delivery tickets and prioritize billing activities.
• Creates invoices that are accurately generated and submitted on a timely basis.
• Identifies any trends or billing inaccuracies with investigation and resolution, escalating to Supervisor/Manager when assistance is needed.
• Completes account reviews/correction requests submitted by other departments within established turnaround times.
• Adheres to Regulatory / Payor Guidelines and policies & procedures.
• Provides exceptional customer service to internal and external customers.
• Other duties as assigned.

Required Qualifications:

• High School Diploma / GED (or higher).
• 2+ years of experience working with medical billing /medical collections, and/or accounts receivables
• Ability to read and interpret payer contracts and billing guidelines

Preferred Qualifications:

• Home Infusion knowledge
• Knowledge of NDC, ICD-10, and HIPAA

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

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