Senior Billing Representative

This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. 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.

We’re a dynamic partnership formed by Quest and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide

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 8:00am – 4:00pm EST. It may be necessary, given the business need, to work occasional overtime.

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

 

Primary Responsibilities:

• Generate accurate insurance claims in a timely manner
• Proactively follow up on claim status
• Answer incoming calls and electronic mail regarding patient billing and insurance inquiries
• Verifies eligibility, benefit information and prior authorization requirements or other pre-service review options
• Follow-up on outstanding AR balances by utilizing system queues and reports
• Identify payment trends that negatively impact accounts receivable by utilizing excel and other system generated reports
• Resolve claim issues with third party payors and patients
• Processing of incoming mail and correspondence
• Prepare and review bad debt and revenue adjustments (credits, refunds, transfers, etc.) in accordance with established guidelines
• Remains current on third – party coverage, reimbursement information and trends
• Monitors payer policy activities on technology coverage and payment
• Provide monthly AR report on assigned payors\
• Maintain high level of integrity and confidentiality / patient privacy (HIPAA)

 

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
• 2+ years of customer service experience
• Ability to work fulltime, Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 4:00pm EST. It may be necessary, given the business need, to work occasional overtime.

 

Preferred Qualifications:

• 2+ years of healthcare billing experience
• 2+ years of experience working in the healthcare industry
• Experience with Microsoft Excel (filtering / sorting spreadsheets)
• 1+ years of experience in Client or Third-Party insurance billing and/or AR collection experience    
• 1+ years of Call Center experience

 

Telecommuting Requirements:

• 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
• Must be flexible, able to effectively multi – task, and work effectively in a fast – paced, high volume work environment, dependable and possess the ability to work well independently as well as part of a team
• Analytical skills, prioritization skills, and time management skills
• Outstanding interpersonal, verbal, and written communications skills

 

*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 $20.00 – $35.72 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.