Charge Capture Specialist
About The Position
This full-time, national remote position with Optum, in strategic partnership with ProHealth Care, is responsible for accurately and promptly capturing charges. The specialist reviews, calculates, and enters charges in the electronic medical record, completes charge entry, and helps ensure charges comply with federal regulations. The role may also support audits, coordinate service requests with hospitals, clinics, facilities, and clinical teams, and handle inquiries and resolution matters. On-the-job training is provided during normal business hours. The employee must be able to work Monday through Friday and flex across shift schedules within normal business hours of 8:00 a.m. to 5:00 p.m.; occasional overtime may be necessary. The role is national remote within the United States and requires a private, dedicated work area and access to an approved high-speed internet connection.
Requirements
- High school diploma or GED.
- Must be at least 18 years old.
- At least 1 year of electronic medical record (EMR) experience.
- Medical terminology experience.
- Ability to work full-time Monday through Friday and flex across shift schedules during normal business hours of 8:00 a.m. to 5:00 p.m.; occasional overtime may be necessary.
- Ability to secure company-sensitive documents, if applicable.
- A dedicated work area separated from other living areas that provides information privacy.
- Must live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or have existing high-speed internet service.
- Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
Nice To Haves
- EPIC experience.
- Billing experience.
- Business office experience.
- Experience working in a metric-driven work environment.
- Experience in the health care industry and with health care insurance.
- Clerical or administrative support background.
- Experience with Microsoft Word, including creating correspondence and working within templates; Microsoft Excel, including data entry, sorting/filtering, and working within tables; and Microsoft Outlook, including email and calendar management.
Responsibilities
- Ensure charges are captured in an appropriate and timely manner.
- Review, calculate, and enter charges in the electronic medical record (EMR).
- Process and complete charge entry.
- Ensure charges comply with federal regulations.
- Assist with audits as needed.
- Work with hospitals, clinics, facilities, and the clinical team to manage requests for services.
- Handle resolution and inquiries.
- Perform other duties as assigned.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
