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.
Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you getLeading edge technology in an industry that`s improving the lives of millionsHere, innovation isn`t about another gadget, it`s about making healthcare data available wherever and whenever people need it, safely and reliablyThere`s no room for errorJoin us and start doing your life’s best workSm
Are you looking for a chance to get your foot in the door with a great company? you have found it hereAlready one of the world’s leading health care companies, optum , part of the unitedhealth group family of businesses, is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier livesHere, you are not just workingYou are making great things happen for the people who rely on us for health care across the united statesYour part of an elite team that is equipped with the best tools and resources, the most thorough training and learning opportunities and a mission that can inspire you every day.
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 7:00am – 6:00pm estYou may work overtime as needed by the businessTraining will be conducted virtually from your home.
As a billing representative – third party you’ll play a critical role in creating a quality experience that impacts the financial well-being of our patientsYou’ll be the expert problem solver as you work to quickly identify, analyze and resolve issues in a fast-paced environmentThis is your chance to take your career to the next level as you support teams by reviewing and investigating claimsBring your listening skills, emotional strength and attention to detail as you work to ensure every claim has a fair and thorough review.
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
If selected for this position, it is required that you successfully complete the unitedhealth group new hire training and demonstrate proficiency to continue in the role.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
Primary responsibilities:
Analyzes and applies denials to third party carriers in all media types.
Complies with departmental business rules and standard operating procedures
Focuses efforts on decreasing the accounts receivable, increasing cash, and/or reducing bad debt.
Interprets explanation of benefits for appropriate follow up action.
Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.
Creates worklist through access database and manipulate data to analyze for trends and resolve claims for adjudication.
Reviews and researches denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing.
Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
Conducts data entry and re-work for adjudication of claims.
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.
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 work experience
Ability using computer and windows pc applications including the ability to learn new and complex computer system applications - instant message, video conferencing
Experience with microsoft outlook (setting calendar appointments, email) and microsoft excel (creating spreadsheets, filtering, navigating reports)
Preferred qualifications:
Some college level classes/coursework
1+ years of experience in a/r, billing, and customer service, insurance, or healthcare
Medical terminology acumen and experience
Telecommuting 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:
Strong keyboard and navigation skills and ability to learn new computer programs
Ability to resolve calls, avoiding escalated complaints.
Ability to exhibit empathy and be courteous to callers.
Ability to triage and handle escalated situations.
Ability to work in a fast-paced environment.
Ability to adapt to changes.
Ability to develop and maintain client relationships.
Previous work experience in a fast paced environment requiring strong multi-tasking and problem solving skills
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 optuminsight Information and technology have amazing power to transform the healthcare industry and improve people`s livesThis is where it`s happeningThis is where you`ll help solve the problems that have never been solvedWe`re freeing information so it can be used safely and securely wherever it`s neededWe`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 millionsThis is where the best and the brightest work together to make positive change a realityThis is the place to do your life’s best workSm
Colorado residents only: the hourly range for colorado residents is $15.00 to $25.19Pay 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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