Billing Representative

UnitedHealth Group•Las Vegas, NV

3d•$18 - $32•Remote

About The Position

This position is Remote in Pacific Time Zone. You will have the flexibility to work remotely as you take on some tough challenges. Optum 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the "communities we serve" as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Managed Care Billing Representative position is responsible for verifying and updating patient insurance coverage information, as required, via portal/RTE/contacting carrier. Assist Optum Insights/IT or specific Clinical staff with questions and issues regarding insurance coverage. As a team member you will be expected to help identify any inefficiencies in existing workflows and give input in creating potential new workflows involving managed care functions with management approval.

Requirements

High School Diploma / GED OR equivalent work experience
Must be 18 years of age OR older
1+ years of recent medical billing experience
Experience with computers and Windows based programs including Microsoft Word, Outlook and Excel (View, Create, sort, filter)
Ability to work 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 8:00am – 4:30pm PST. It may be necessary, given the business need, to work occasional overtime
Excellent written and verbal communication skills
Time Management Skills
Reside within Pacific Time Zone
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

Nice To Haves

Working knowledge of EPIC-PB Resolute
Knowledge of full revenue cycle

Responsibilities

Respond to email requests for account updates related to Facets/roster plans and/or other insurance coverage issues from Optum Insights/IT and non-office based Clinical Staff as a priority daily.
Resolve coverage/claim issues within assigned work queues in practice management system.
Notify management of trends of issues, as necessary.
Review and understand insurance explanation of benefits/remittance advices and terminology.
Contact the insurance company to check eligibility.
Resolve questions and issues, escalate complex issues up to management.
Work collaboratively with team members and other teams.
Work other projects as assigned by management.