If you are located in the West Hills, CA, Valencia, CA, Schaumburg, IL, Cambridge, MA, Clifton, NJ, Norristown, PA, Tampa, FL or Irving, TX areas, you will have the flexibility to telecommute (work from home) as you take on some tough challenges.
Are you looking for a chance to get your foot in the door with a great company? You have found it here. Already one of the world’s leading health care companies, Optum, part of the UnitedHealth Group family of businesses, is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. Here, you are not just working. You are making great things happen for the people who rely on us for health care across the United States. Your part of an elite team that is equipped with the best tools and resources, the most thorough training and learning opportunities and a mission that can inspire you every day.
Who are we? Optum360. We’re a dynamic new 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. If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It’s an opportunity to do your life’s best work.SM
As a Billing Representative you’ll play a critical role in creating a quality experience that impacts the financial well-being of our patients. You’ll be the expert problem solver as you work to quickly identify, analyze and resolve issues in a fast paced environment. This is your chance to take your career to the next level as you support teams by reviewing, and investigating claims. Bring your listening skills, emotional strength and attention to detail as you work to ensure every claim has a fair and thorough review. You will leverage your skills and have the ability to:
- Multi-task and work independently and as part of a team.
- Demonstrate excellent communication, organization and problem solving
- Adapt to change in a fast-paced environment
- Join a cross functional focused team with many opportunities for cross-training and skill/career development
If selected for this position, it is required that you successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role.
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 7:00am – 6:00pm within your time zone. It may be necessary, given the business need, to work occasional overtime and/or weekends or holidays. If you are located in West Hills, CA, Valencia, CA, Schaumburg, IL, Cambridge, MA, Clifton, NJ, Norristown, PA, Tampa, FL or Irving, TX, you will have the flexibility to telecommute* as you take on some tough challenges.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Analyzes and applies denials to third party carriers in all media types.
- Complies with departmental Business Rules and Standard Operating Procedures
- Focuses efforts on decreasing the Accounts Receivable, increasing cash, and/or reducing bad debt.
- Interprets explanation of benefits for appropriate follow up action.
- Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.
- Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication.
- Reviews and researches denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing.
- Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
- Conducts data entry and re-work for adjudication of claims.
- Works on various other projects as needed.
- 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 (or higher) OR equivalent work experience.
- Demonstrated ability using computer and Windows PC applications, such as Microsoft Outlook (setting calendar appointments, email) and Microsoft Excel (creating spreadsheets, filtering, navigating reports) instant message, video conferencing.
- Strong keyboard and navigation skills and ability to learn new computer programs.
- If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Preferred Qualifications:
- Some College level classes/coursework
- 1+ years of experience in A/R, Billing, and Customer Service, Insurance, or Healthcare.
- Previous work experience in a fast paced environment requiring strong multi-tasking and problem solving skills
- Medical terminology acumen and experience.
Telecommuting Requirements:
- Must reside in West Hills, CA, Valencia, CA, Schaumburg, IL, Cambridge, MA, Clifton, NJ, Norristown, PA, Tampa, FL or Irving, TX
- 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
- Must reside within a commutable distance from UHG office and be able to go into the office as needed for training, meetings, etc., depending on business needs.
Soft 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.
UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non – clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html
Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people’s lives. This is where it’s happening. This is where you’ll help solve the problems that have never been solved. We’re freeing information so it can be used safely and securely wherever it’s needed. We’re creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work.SM
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
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