Employer: UnitedHealth Group
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Roles and responsibilities can often be expanded to accommodate changing patient or organizational needs and conditions as well as to tap into skills and talents of employees. Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed.
Primary Responsibilities:
- Responsible for managing Third – Party AR by analyzing denied and unresponded claims
- Outbound calls to insurance carriers to appeal and check claims status
- Post explanation of benefits
- Coordinate with insurance carriers to reconcile / resolve any issues
- Familiar with explanation of benefits
- Maintain Compliance and HIPAA standards at all times
- Meet or exceed daily production standards by maintaining work list according to metrics
- Meet or exceed daily quality standards
- Perform other duties and functions as assigned
- Process insurance / patient refunds and adjustments
- Evaluate and respond to all emails request for any deposit issues in order to resolve in a timely matter
Required Qualifications:
- High School Diploma / GED (or higher)
- 1+ years of experience in Medical Billing
- 1+ years of customer service experience analyzing and solving customer problems; OR 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
- Experience with Microsoft Office applications (Word, Excel & Outlook) – ability to create, edit, save and send documents, spreadsheet and correspondence
- Ability to work an 8-hour shift Monday-Friday from 8:00am to 5:00pm
Preferred Qualifications:
- Experience with Healthcare/Medical/Pharmacy terminology
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:
- Ability to navigate on internet for researching purposes
- Demonstrated problem solving, organization and interpersonal skills
- Ability to work independently and as part of a team
- Excellent communication skills, both verbal and written