Billing Representative

UnitedHealth Group•Tampa, FL

1d•$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. We’re a dynamic partnership formed by Quest and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. 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 6:00 am - 6:00 pm. It may be necessary, given the business need, to work occasional overtime. We offer weeks of on-the-job training. The hours of training will be aligned with your schedule.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
1+ years of medical collections and / OR medical billing experience
1+ years of experience working with insurance companies on denied healthcare claims
Experience correcting and appealing medical claims
Experience with Microsoft Excel (data entry, sorting/filtering)
Experience with Microsoft Word (creating and editing documents)
Computer skills, including working knowledge of MS Windows and navigation, mouse and keyboarding skills
Ability to work Monday - Friday, any of our 8-hour shift schedules during our normal business hours of 6:00 am - 6:00 pm. It may be necessary, given the business need, to work occasional overtime

Nice To Haves

Medical terminology knowledge/experience
Knowledge of full version Adobe (creating and editing documents)

Responsibilities

Perform research on assigned payer guidelines when processing appeals, corrected claims or denial reasons
Stay up to date on all payer requirements and changes
Focus efforts on decreasing the Accounts Receivable, increasing cash, and / or reducing bad debt
Interpret explanation of benefits for appropriate follow up action
Utilize automation tools to verify eligibility, claim status and / or to obtain better billing information
Review and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data / information for processing
Communicate and collaborate with members or providers to evaluate claims errors / issues, using clear, simple language to ensure understanding
Work on various other projects as assigned/needed
Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance
Focused efforts on increasing cash and reducing bad debt
Interpret Explanation of Benefits for appropriate follow up action
Contact Third Party carriers to follow up on denied and unresponded claims
May have contact with insurance carriers, clients, patients and/or other outside sources
Regular research involving both the web and billing systems
Maintain Compliance and HIPAA standards at all times
Meet or exceed daily production standards
Meet or exceed daily quality standards
Ability to work on various other projects as needed

Benefits

In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

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