Job details
Job type full-time
Full job description
If you are located within 30 miles of norristown, pa, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
All of us have a short list of the things that make a job greatIf your list includes being able to make a difference, count us in as your next place to workUnitedhealth gro up is a fortune 10 company leader in health care at a time when health care is evolving for everyoneOur billing teams are part of an important chain of events that impact the lives of our members in positive waysJoin this group and we’ll have an impact on youApply now and discover the exceptional training, support and opportunities to grow that you’d expect from a fortune 10 company.
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 8:00am - 5:00pm cstIt may be necessary, given the business need, to work occasional overtime.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
Primary responsibilities:
Analyze and apply denials to third party carriers in all media types
Comply with departmental business rules and standard operating procedures
Focus efforts on decreasing the accounts receivable, increasing cash, and / or reducing bad debt
Interpret explanation of benefits for appropriate follow up action
Utilize automation tools to verify eligibility, claim status and / or to obtain better billing information
Create work list through database and manipulate data to analyze for trends and resolve claims for adjudication
Review and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data / information for processing
Communicate and collaborate with members or providers to evaluate claims errors / issues, using clear, simple language to ensure understanding
Conduct data entry and rework for adjudication of claims
Work on various other projects as needed
Meet 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)
1+ years of customer service experience
6+ months of previous healthcare billing experience
Demonstrated ability using computers and windows pc applications, which includes strong keyboard and navigation skills and ability to learn new computer programs
High proficiency in microsoft excel – able to create formulas and pivot tables, sort and filter
High proficiency in outlook – able to create and schedule meetings and calendar invites, and create folders
Previous work experience requiring exceptional data entry proficiency and accuracy
Medical terminology knowledge/experience
Ability to work an 8 hour shfift during our normal business hours of 7:00am – 5:00pm monday – fridayIt may be necessary, given the business need, to work occasional overtime or weekendsFlexible scheduling may be offered
Full covid-19 vaccination is an essential requirement of this roleUnitedhealth group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.
Preferred qualifications:
Associates degree (or higher)
Certified medical coder or involved with medical coding
Previous experience with medical claims processing
Telecommuting requirements:
Must be located within 30 miles of norristown, pa
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:
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
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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