Job details
Job type full-time
Full job description
You’ll enjoy the flexibility to telecommute* from anywhere within the u.sAs you take on some tough challenges.
Healthcare isn’t just changingIt’s growing more complex every dayIcd - 10 coding replaces icd - 9Affordable care adds new challenges and financial constraintsWhere does it all lead? hospitals and healthcare organizations continue to adapt, and we are vital part of their evolutionAnd that’s what fueled these exciting new opportunities.
Who are we? optum360 We’re a dynamic new partnership formed by quest and optum to combine our unique expertiseAs part of the growing family of unitedhealth group , we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of revenue management services to healthcare providers, nationwide.
If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to beIt’s an opportunity to do your life`s best workSm
As a billing quality audit representative, you will be responsible for all aspects of quality assurance within the billing job familyConducts audits and analysis and provides feedback to reduce errors and improve processes, design, and performanceResponsible for reviewing employee’s work for quality and accuracy on a regular basisWill maintain accuracy rates for all customers as well as providing constructive feedback to reps as well as leadership.
This position is full-time (40 hours/week) monday - fridayEmployees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pmIt may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of paid trainingTraining will be conducted virtually from your home.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
Primary responsibilities:
Meet daily with team leaders/supervisor and/or employees to review previous day quality results.
Highlight potential issues in the billing operations to management
Work closely with new hires, anyone new to a process, or having difficulty with errors to ensure quality work is produced in future.
Trending errors to determine training opportunities
May provide small group or on-on-one training/cross-training
Develop recommendations for corrective action based on quality issues
Maintain current knowledge of billing requirements and system practicesThis also includes making recommendations for new procedures.
Maintain and update business rules, job aids, and standard operating procedures as needed
Must be able to meet established production and quality standards.
May be working processes in times of backlog to help team maintain production requirements.
Maintain and track accuracy rates for all customers.
Identify potential patient experience improvements with emphasis on reduction of repeat patient contacts.
Maintain documentation of qc feedback sheets and sign-off of qc results from customers
Support audits by pull documentation and sending to customers
Maintain qc backlogs to ensure qc is performed timely
Support leadership during review of qc disputes/appeals
Support customers by answering queries regarding various processes, as well as qc results
Advocate and lead process improvement initiatives in order to streamline processes identified during qc
Works on various other projects as needed.
Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.
This position is full-time (40 hours/week) monday – fridayIt may be necessary, given the business need, to work occasional overtime and/or weekends or holidays.
Work is frequently completed without established procedures.
Works independently.
May act as a resource for others.
May coordinate others` activities.
Multi-task and work independently and as part of a team.
Demonstrate excellent communication, organization and problem solving
Adapt to change in a fast-paced environment
Join a cross functional focused team with many opportunities for cross-training and skill/career development
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:
High school diploma / ged (or higher) or equivalent years of work experience.
Intermediate microsoft office suite skills: microsoft excel (ability to sort, sum, insert bar graphs and use formulas, create and edit data in spreadsheets), microsoft word (ability to create documents and complete mail merging), microsoft outlook (ability to manage email, calendar, and task lists)
Ability and willingness to work overtime as required
Preferred qualifications:
Some college level/coursework (or higher)
1+ years experience in a/r, billing, and customer service, insurance, or healthcare.
Medical terminology acumen and experience.
Strong knowledge of patient impact processes such as remittance application and third party
Telecommute requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
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:
Must possess excellent interpersonal skills and the ability to work with others in a positive manner in both written and verbal communication
Strong organizational skills
High degree of accuracy, and attention to detail
Excellent problem solving and decision-making skills
Ability to work in a fast-paced environment and meet deadlines
Ability to triage and handle escalated situations
Ability to adapt to changes
Extensive work experience within own function
Excellent problem solving and decision making skill
Previous work experience in a fast-paced environment requiring strong multi-tasking and problem solving skills
Strong keyboard and navigation skills and ability to learn new computer programs
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Military & veterans find your next mission: we know your background and experience is different and we like thatUnitedhealth group values the skills, experience and dedication that serving in the military demandsIn fact, many of the values defined in the service mirror what the unitedhealth group culture holds true: integrity, compassion, relationships, innovation and performanceWhether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journeyLearn more at https://uhg.hr/transitioning-military
Learn how teresa, a senior quality analyst, works with military veterans and ensures they receive the best benefits and experience possibleHttps://uhg.hr/vet
Careers with optumHere`s the ideaWe built an entire organization around one giant objective; make the health system work better for everyoneSo when it comes to how we use the world`s large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serveOptum, part of the unitedhealth group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potentialFor you, that means working on high performance teams against sophisticated challenges that matterOptum, incredible ideas in one incredible company and a singular opportunity to do your life`s best workSm
Colorado residents only: the hourly range for colorado residents is $17.12 - $30.34Pay is based on several factors including but not limited to education, work experience, certifications, etcAs of the date of this posting, in addition to your salary, uhg offers the following benefits for this position, subject to applicable eligibility requirements: health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; employee assistance program; pto; and employee-paid critical illness and accident insurance.
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 workplaceCandidates are required to pass a drug test before beginning employment.
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