Medical Billing Supervisor - Torrance, CA

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 

Positions in this function is responsible for the coordination of the data entry, collection, quality control and occupational medicine sections of the Business Office department. Monitors productivity, prioritizes duties, hires, trains and evaluates department staff.

Primary Responsibilities:  

• Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer
• Data Entry: 
  
  • Supervises pre-registration, charge entry, payment entry, adjustments, invoice corrections, charge corrections and maintains specific IDX dictionary
  • Balances and reconciles cash receipts
  • Completes required Business Office forms
• Collection:
  • Supervises third-party and/or patient collection efforts
  • Minimizes days in Accounts Receivable
  • Maximizes collection rate
  • Negotiates payment plans
  • Corrects errors affecting accuracy of demographics and balances
  • Makes referrals to collection agencies
  • Manages appeals of denials/low allowances
• Quality Control:
  • Supervises billers, coders and filing clerks
  • Oversees the receipt and review of all encounter data (inpatient and outpatient) to ensure the accuracy of all coding and insurance information. Codes when appropriate
  • Tracks encounter form problems, errors and omissions. Reports to sites and regions
  • Receives, logs and distributes monies to be data entered
  • Monitors daily billing edit reports
  • Processes paper claims
  • Files and retrieves system reports
• Occupational Medicine:
  • Coordinates the billing and collections of occupational medicine activities
  • Coordinates with operations to ensure accurate coding and receipt of accurate demographic and encounter data
  • Supervises staff responsible for data entry, payment and adjustment entry and collections
  • Trains all staff including Data Entry Clerks, Collectors, Medical Assistants and providers
  • Audits fee tickets and reports for accuracy
  • Discusses cases with providers and reinforces level of service to be charged
  • Audits employer physical protocols
  • Provides providers with feedback in the use of code modifiers
  • Stays abreast of occupational medicine industry changes and disseminates information to staff
  • Develops and maintains protocols
  • Maintains guarantor dictionary
  • Assists in the development of front and back-end processes in STOLAS
  • Maintains work-in-progress reports for each of the Business Office functions
  • Generates management reports
  • Uses, protects, and discloses HCP patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Performs additional duties as assigned

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. 

Years of post-high school education can be substituted/is equivalent to years of experience

Required Qualifications:  

• 2 years of Medical Billing and / or payment posting experience 
• 2 years of supervisory/team lead experience 
• Third-party billing (MCR, MCL, PPO, WC) experience 
• ICD-9 and CPT coding experience
• Hybrid based position ( 2 days in our Torrance office and 3 days remote)

Preferred Qualifications:    

• Certification in workers' compensation billing 
• 4 years Medical Billing experience
• IDX BAR experience

California Residents Only: The salary range for California residents is $46,700 to $91,300 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 

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.    

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.   

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.