Associate Billing Representative

Insurance Claims Specialist

Opportunities at Owensboro Health, in strategic partnership with Optum. Our team of over 4,900 talented people works to improve the health outcomes of our communities in Kentucky and Indiana. Our nonprofit system is comprised of over 200 providers at more than 20 locations, 3 outpatient facilities, a certified medical fitness facility, a surgical weight loss center and the Mitchell Memorial Cancer Center. We are continually searching for people like you to help us provide the most innovative health care service in the region. Join an organization that will make you feel valued and discover the meaning behind : Caring. Connecting. Growing Together.

This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8 : 00am - 4 : 30pm EST. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule.

Primary Responsibilities :

• Enters information necessary for insurance claims such as patient information, insurance identification, diagnosis and treatment codes, modifiers, and provider information.
• Ensures claim information is complete and accurate.
• Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper.
• Follows up with insurance companies for unpaid or rejected claims.
• Communicates with payors and other necessary contacts to resolve issue and re-submit claims as needed.
• Prepares appeal letters to insurance carrier when not in agreement with claim denial.
• Collects necessary information to accompany appeal.
• Prepares and submits secondary claims upon processing by primary insurer.
• Posts insurance and patient payments via electronic remit posting or manual posting.
• Prepares and reviews routine billing reports to ensure timely and accurate billing activity.
• Recommends process improvements based on findings.

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 :

Preferred Qualifications :

Telecommuting Requirements :

Soft Skills :

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 - $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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