Physician Medical Billing Representative – National Remote

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.  

This position is full time (40 hours/week) 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 – 5pm 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.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

                                         

Primary Responsibilities:

• Gathering information needed to complete billing process from operational areas, including physicians
• Answers billing correspondence answer telephone calls and follow up on requests for information
• Assist with coding and error resolution
• Learn medical specialties specifically assigned
• Review claim payments for accuracy and compliance and posts payments appropriately
• Resolve claims problems with insurance carriers
• Utilize available tools to keep accounts receivable current
• Maintain updated provider information for billing purposes
• Work to follow-up on accounts until zero balance or turned over for collection
• Provide feedback to providers and operational staff regarding denials, payments, coding, etc.
• Review and resolve pre bill claim edits

                                         

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 experience with professional medical billing
• 2+ years of experience with AR Follow Up, Denials Resolution, and Revenue Cycle practices/procedures
• Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
• Ability to work full-time, Monday – Friday between 8:30am – 5:00pm EST including the flexibility to work occasional overtime given the business need

                                        

Preferred Qualifications:

• 3+ years of experience in a related environment (i.e. accounts receivable follow up, revenue cycle management, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Working knowledge of more than one medical specialty
• Experience working with ECW (e-clinical works)- practice management system
• Ability to analyze and troubleshoot difficult medial claims
• Knowledge of accounts receivable management

                                        

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
• Excellent customer service skills and ability to handle difficult patient situations.
• Excellent written and verbal communication skills
• Ability to multi-task and to understand multiple products and multiple levels of benefits within each product

                                        

*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.