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SalaryYou’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
As an Senior Internal Billing Representative, this position will be a remote opportunity responsible for interacting with Optum360 / Quest Diagnostics internal teams regularly and at times, representing Optum360 / Quest Diagnostics to our clients in a professional manner. This role will streamline, improve and enhance the billing experience for both internal and external customers through education while reducing revenue loss, denials and bad debt for Optum360 and Quest Diagnostics.
This position is full-time. Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm EST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment.
- All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Review and respond to elevated billing issues arriving by email, phone and Salesforce with the focus to reduce missing information, bad debt, non-supported diagnosis/non-covered test write-offs, and third party denials.
- Provide insight and education focused around:
- Medicare Limited Coverage Policy/ABN
- Medicaid requirements/policies
- Regional specific third party requirements/policies
- Ordering provider registration (PECOS)
- Missing demographic/insurance information for ordering physician and patient
- Support Commercial Sales team by explaining/educating on billing processes.
- Act as liaison for customer billing problems as necessary and communicate those to the appropriate person or department for resolution.
- Drive improvement to defined goals.
- Document all significant client interaction in CRM application (Salesforce.com).
- Other duties as assigned including special projects, etc.
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
- 2+ years of experience with healthcare medical billing/claims experience
- Experience working with Microsoft Office Suite Microsoft Word (create/edit/save/send documents)
- Microsoft Excel (create/edit/save/send spreadsheets), Microsoft Outlook (create/edit/save/send emails)
- Ability to work 08:00AM – 05:00PM EST.
- Must be 18 years of age OR older
Preferred Qualifications:
- Experience working with data – pulling and analyzing information to understand root cause/trends/opportunities
- Knowledge of Medicare / Medicaid coverage policies
- Highly preferred residential locations for this position: Massachusetts, Rhode Island, Pennsylvania, or New Hampshire
Soft Skills:
- Strong Written/Verbal Communication skills
- Strong organization/time management skills
- Strong problem solving skills
- Ability to develop and sustain good customer relationships
- Experience working independently and as part of a team
- 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.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Hawaii / Nevada / New York / New Jersey / Washington / Rhode Island residents is $19.47 - $38.08 per hour. 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: 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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