Credit Balance Processor

UnitedHealth Group•Tampa, FL

2d•$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. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week. Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work. (sm) As the Credit Balance Processor you’ll play a critical role in creating a quality experience that impacts the financial well-being of our patients. In an environment where the patient is at the center of everything we do, the Credit Balance Processor play an important role on a team that supports the Accounts Receivable department by performing combinations activities. The Credit Balance Processor will be required to successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role. 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 8:00 am - 4:30 pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 4 - 6 months of paid on the job training and the hours during training will be 8:0 am - 4:30 pm CST, Monday - Friday.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
2+ years of experience in insurance billing
2+ years of experience in patient, client, OR third-party insurance billing
2+ years of experience in Auditing
Basic level of proficiency with Windows PC applications, which includes keyboard and navigation skills and ability to learn new computer programs
Exceptional time management skills
Ability to multi-task and collaborate with others
Organizational skills are a must
Ability to prioritize workflow
Ability to adapt to changes
Ability to communicate using tools such as Microsoft Outlook and Microsoft Teams chat
Ability to work 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 8:00 am - 4:30 pm CST. It may be necessary, given the business need, to work occasional overtime.

Nice To Haves

Work experience in a fast-paced environment requiring multi-tasking and problem-solving skills
Intermediate level of proficiency with Microsoft Excel
Experience with patient Billing Systems
Experience with Claims processing and Billing workflow

Responsibilities

Contact payers by telephone, fax, email, or letter to determine coordination of benefits, contractual, patient and government responsibilities as necessary to have the credit balance reach resolution
Interpret complex contractual language to complete special projects according to contractual agreements, Medicare, or governmental regulations
Cultivate effective working relationships with other departments within the RCM team to facilitate the resolution of accounts with credit balances
Determine if accounts are paid correctly according to contractual agreements or governmental reimbursement methodologies
Remain current on general regulatory and contractual requirements involving self-studies of payer bulletins and contracts through updates from the supervisor
Requires contractual knowledge across multiple payer groups
To support, enhance, and retain maximum cash reimbursement in accordance with contractual agreements
Maintain positive relationships with patient, insurance companies and other payers to facilitate resolution of credit balance accounts
Provide direction and guidance to less experienced team members
Work from monthly reports reflecting highest dollars and oldest accounts to target and resolve priority accounts
Resolve billing, collections, customer service requests, and reimbursement questions involving credit balance accounts
Research and process requests from insurance companies requesting a refund on credit, debit or zero balance accounts
Identify reoccurring problems, errors, and issues for inclusion on the issue log. Escalate problem accounts to Leadership when appropriate intervention is required
To meet or exceed productivity and audit standards that has been established according to department requirements
Follow established departmental policies, procedures, and objectives