Billing Representative

This position is Remote Multi-State. If you are located within Pacific, Mountain or Central Time Zones you will have the flexibility to work remotely* 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. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

As a Billing Representative, you will work by phone or correspondence to gather missing information to ensure proper billing to clients, patients, or third – party insurances. This is an excellent opportunity for someone with previous customer service experience in a professional office setting who is interested in moving into a new area while learning additional skills. You will leverage your skills and have the ability to:

• Demonstrate empathy and compassion to customers.
• Triage and handle escalated situations.
• Adapt to changes in a fast – paced environment.
• Develop and maintain client relationships

This position is full time Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:30am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

                 

Primary Responsibilities:

• Researches, obtains, and enters missing information / demographics for completion of accessions. 
• Demonstrates competency in eligibility, billing and receivable systems and associated applications. 
• Educates external customers on how to provide complete billing information and avoid additional contacts for information.
• Informs customers of billing problem / issue findings and resolution as appropriate.
• Makes outbound calls to clients, patients, carriers and / or any internal or external source as needed to obtain missing or additional information.
• Responds to account inquires through written correspondences. 
• Handles sensitive client and patient interactions.   
• Maintains timely, accurate documentation for all appropriate transactions. 
• Generates and / or distributes reports and documentation to internal or external client to obtain missing information.
• Reports problems, errors, and denial trends to management including PHI breaches.
• Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.

            

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
• Must be 18 years of age OR older
• 1+ years of healthcare experience
• 1+ years of experience running insurance eligibility checks and interpreting results to determine network status and coverage eligibility
• Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications and basic IT troubleshooting 
• Must have experience working with multiple applications at a time while assisting customers
• Proficient in translating health care – related jargon and complex processes into simple, step – by – step instructions customers can understand and act upon
• Must have experience with production/goal expectations
• Ability to work Monday – Friday, 08:30AM – 05:00PM PST

               

Preferred Qualifications:

• 1+ years of call center or revenue cycle experience
• Medical terminology acumen and experience
• Billing experience and understands multiple billing requirements across various payers and states
• Knowledge of billing / finance and eligibility processes, practices and concepts
• Conducts data entry for completion of accessions using computer and Windows PC applications

        

Telecommuting Requirements:

• Reside within Pacific Standard Time, Mountain Time, or Central Standard Time
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• 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 multi – task and to understand multiple products and multiple levels of benefits within each product
• Previous work experience in a fast – paced environment requiring multi – tasking skills
• Ability to resolve calls, avoiding escalated complaints
• Ability to exhibit empathy and be courteous to callers
• Ability to triage and handle escalated situations
• Ability to work in a fast – paced environment
• Ability to adapt to changes
• Ability to develop and maintain client relationships
• Ability to work independently and as part of a team

            

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

                

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 – $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

 

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.