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SalaryOptum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you’ll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work an 8-hour shift schedules during our normal business hours of 08:30am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime. Training will be conducted virtually from your home.
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 (or higher)
- 2+ years of experience with professional Medical Billing
- 2+ years of experience with AR Follow Up, Denials Resolution, and Revenue Cycle practices/procedures
- Intermediate level of proficiency with Windows PC applications, including the ability to navigate multiple programs and learn new and complex computer system applications
- Ability to work EST hours
- 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:
- 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
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 Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
#RPO #Green
