Physician Medical Billing Representative - National Remote

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. 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 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.

What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you’ll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work an 8-hour shift schedules during our normal business hours of 08:30am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime. Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Assist with coding and error resolution
• Provide feedback to providers and operational staff regarding denials, payments, coding, etc.
• Gathering information needed to complete billing process from operational areas, including physicians
• Work to follow-up on accounts until zero balance or turned over for collection
• Learn medical specialties specifically assigned
• Maintain updated provider information for billing purposes
• Review claim payments for accuracy and compliance and posts payments appropriately
• Resolve claims problems with insurance carriers
• Utilize available tools to keep accounts receivable current
• Review and resolve pre bill claim edits
• Answers billing correspondence answer telephone calls and follow up on requests for information

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.

Required Qualifications:

• Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
• 2+ years of experience with AR Follow Up, Denials Resolution, and Revenue Cycle practices/procedures
• 2+ years of experience with professional medical billing
• Ability to work EST hours
• Ability to work full-time, Monday - Friday between 8:30am – 5:00pm EST including the flexibility to work occasional overtime given the business need
• High School Diploma / GED (or higher)

Preferred Qualifications:

• 3+ years of experience in a related environment (i.e. accounts receivable follow up, revenue cycle management, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Ability to analyze and troubleshoot difficult medial claims.
• Experience working with ECW (e-clinical works)- practice management system.
• Knowledge of accounts receivable management
• Working knowledge of more than one medical specialty

Telecommuting Requirements:

• 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

Soft Skills:

• Ability to multi-task
• Excellent customer service skills and ability to handle difficult patient situations.
• Excellent written and verbal communication skills
• Ability to multi-task and to understand multiple products and multiple levels of benefits within each product

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work. SM

California, Colorado, Connecticut, Nevada, Washington or New York, Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / Washington / New York / Rhode Island residents is $16.00 - $31.44. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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