Billing Representative

Billing Representative

This position is remote in PST and MST. You will have the flexibility to work remotely 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.

Billing Representative will be responsible for a few work queues with insurance follow ups such as denials and resolve denials, following up on claims with no status. 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 : 00 pm PST. It may be necessary, given the business need, to work occasional overtime. We offer 90 days of paid training. The hours during training will be 7 : 30 am to 4 : 00 pm PST, Monday - Friday. Training will be conducted virtually.

Primary Responsibilities :

• Contacts insurance carriers / patients regarding outstanding insurance claims to obtain proper payment.
• Prepares proper documentation for appeals to insurance carriers.
• Ensures all accounts are set-up correctly in the computer using knowledge of A / R software, understanding of eligibility requirements and use of the internet.
• Has thorough knowledge of insurance carrier procedures and processes.
• Understands contract reimbursement rates for individual carriers / networks.
• Processes refunds when applicable.
• Responsible for investigating and correcting prepayments.
• Must meet minimum production standards as set by management.
• Responsible for a book of unpaid claims that appear in work queues assigned to each Billing Rep.
• Other work as required / requested.
• May be assigned special projects or other assignments and work tasks that are generally within the scope and level of the position, and relative to the need for flexible company operations.

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 :

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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). The hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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 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.