Billing Representative

UnitedHealth Group•Minneapolis, MN

25d•$18 - $32•Remote

About The Position

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. 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. As part of the UnitedHealth Group family of businesses, we’re a dynamic new partnership formed by Dignity Health and Optum. We’ll count on your professionalism, expertise, and dedication to help ensure that our patients receive the quality of care they need. So, if you’re looking for a place to use your passion, your ideas and your desire to drive change, this is the opportunity for you. The Billing Representative is responsible for accurate and timely billing of UB-04 claims for acute hospital services. This role works closely with internal teams and hospital facilities to resolve claim edits, ensure compliance with CMS, State, and Payer regulations, and follow established billing matrices and workflows to support clean claim submission and optimal 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 7:00am - 3:30pm PST. It may be necessary, given the business need, to work occasional overtime. We offer on-the-job training. The hours of training will be aligned with your schedule. 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.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
1+ years of hospital billing experience
Working knowledge of medical terminology
Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
Ability to work Monday – Friday, 7:00am - 3:30pm PST
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.
Experience with identifying root causes to determine appropriate actions and outcomes
Ability to completely and concisely summarize important details in account notes
Ability to multitask, handling multiple software’s at a time
Ability to conduct professional conversations with internal and external teams
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

Experience with UB-04 billing
Residing within PST time zone
Experience with Federal or State billing

Responsibilities

Prepare, review, and submit UB-04 claims for acute inpatient and outpatient hospital services
Review and resolve claim edits by sending and responding to tasks in accordance with established processes
Work directly with hospital facilities to obtain required documentation, clarify billing issues, and resolve discrepancies
Follow detailed billing matrices, payer-specific instructions, and internal workflows
Ensure all billing activities remain compliant with payer guidelines and internal compliance standards
Identify and correct billing errors prior to claim submission to prevent denials
Assist with claim follow-up, rebilling, and correction requests as needed
Document all account activity clearly and accurately in billing systems
Collaborate effectively with team members to meet department goals and deadlines
Maintain productivity and accuracy standards in a high-volume acute care environment