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. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week.
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 the 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.
POSITION SUMMARY: Follow up of outstanding A/R for all payers and/or including self-pay and/or including resolution of denials. This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to attain maximum reimbursement on accounts and identify issues or changes to achieve client profitability. Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement.
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 8:00 am - 5:00 pm EST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of paid training. The hours during training will be 8:00 am to 5:00pm EST, Monday - Friday.
Primary Responsibilities:
Work under the daily supervision of the Operations A/R Supervisor/Manager.
Effectively work with the client and staff to improve billing operations.
Assist patients with questions ad inquiries.
Validate insurance and other billing information.
Review Medical Records to validate date of service, servicing provider and other basic non-clinical data.
Assist in identifying current and/or potential billing issues specific to outstanding receivable.
Follow up on denied or unadjudicated encounters.
Protect/observe patient confidentiality per policies and procedures.
Meet productivity standards as based on internal operational and client goals.
Enter free form notes/status codes onto patient accounts ensuring adequate documentation for any activity performed on the account through billing, follow-up, or processing of correspondence.
Review and prepare claims for manual and/or electronic billing submission. This includes submitting corrected claim and appeals.
Correct any identified billing errors and resubmit claims to insurance carrier. Follow up on payment errors, low reimbursement, denials, etc.
Complete third party contractual and/or regulatory adjustments and write offs as indicated on the explanation of benefits and/or third-party correspondence.
Use appropriate systems for payment determination and resolution.
Maintain a current working knowledge of all healthcare related issues and regulations.
Act responsibly with patients, co-workers, management, and clients. Maintain a professional attitude.
Demonstrate knowledge of proper, safe, efficient usage of current office equipment/software
Assist in other duties assigned as they arise.
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 medical billing experience within a physician practice.
2+ years of experience with effectively interacting with physicians, patients, and other staff members.
Knowledge of Out of Network billing and appeals.
Oral & written communication skills.
Intermediate level of proficiency with Microsoft Word, Excel and Outlook.
Ability to work full-time, in any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm EST, including the flexibility to work occasional overtime and weekends, based on the business need.
Preferred Qualifications:
Medical billing and coding certification.
Knowledge of electronic medical records.
Working knowledge of New Jersey No-Fault & Workers Compensation billing and appeals.
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.
*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 $17.98 - $32.12 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 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.
