Billing Representative

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 Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

As a Billing Representative, you'll be responsible for medical hospital billing. Positions in this role ensure claim accuracy and work through specific billing discrepancies. Provide input to policies, systems, methods and procedures for the effective management and control of billing functions.

This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime.

The Billing Representative will be required to successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role. We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule. Training will be conducted virtually from your home.

Primary Responsibilities:

• Submit primary and secondary claims
• Resolve billing edits
• Provide input to policies, systems, methods, and procedures for billing functions.
• Ensure claim is accurate for processing
• Demonstrate and maintain understanding of and comply with billing policies and procedures
• Make and/or submit changes to claims when applicable
• Ability to correct bill various insurances
• Ability to accurately read and interpret EOBS
• Follow up with insurance companies on denials
• Possess strong analytical and research skills
• Communicates with superiors, peers, employees, internal and external customers, and others, as appropriate, on a regular basis, assuring proper flow of information.
• Collaborate with team members to ensure continuous improvement in processes.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 equivalent work experience
• Must be 18 years of age OR older
• 1+ years of medical billing experience
• Ability using computer and Windows PC applications, which includes strong keyboard and navigation skills and ability to learn new computer programs
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
• Ability to work an 8-hour shift during our normal business hours of (7:00am - 5:00pm) EST

Preferred Qualifications:

• 1+ year of experience in patient, client, or third-party insurance billing
• 1+ year of hospital collections or billing 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:

• Previous work experience in a fast-paced environment requiring strong multi-tasking and problem-solving skills
• Strong organizational and communication skills
• Ability to adapt to changes.

*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 $18 - $32 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.

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.