Position Description: Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work. Are you looking for a chance to get your foot in the door with a great company? You've found it here. Already 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 lives. Here, you're not just working. You're making great things happen for the people who rely on us for health care across the United States. You're a part of an elite team that's equipped with the best tools and resources, the most thorough training and learning opportunities and a mission that can inspire you every day. This is your chance to do your life's best work. As a Billing Representative, you will work by various methods to reconcile AR for the purpose of collecting and / or posting revenue for the organization. Work with patient, client and / or third-party insurance bills, and on one or more of these processes on a daily basis. Primary Responsibilities:Analyzes and applies payments and denials to third party carriers in all media types.Applies third party and patient payments and denials to patient accounts both manually and electronically.Interprets explanation of benefits for appropriate follow up action.Completes and tracks refunds / adjustments to customer's accounts, while providing necessary back-up information.Contacts / coordinates with IT or third-party carriers on file issues.Releases electronic files and resolves error reports.Resolves and researches misdirected cash issues.Conducts data entry and remittance posting and reconciliation activities.Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.Complies with departmental Business Rules and SOPs.Focuses efforts on decreasing the AR>90, 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. Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.
Requirements Qualifications:High School Diploma / GED Basic math skillsDemonstrated ability in using a computer and Windows PC applicationsStrong keyboard / data entry and navigation skillsDemonstrated ability to learn new computer programs and applicationsPreferred Qualifications:Some College preferred1+ years of billing or collections experience preferred1+ years of experience in A / R, Billing, and Customer Service, Insurance, or HealthcareSoft Skills: Ability to multi-task and work in a fast-paced environmentExcellent communication skills, both verbal and writtenDemonstrated problem solving abilitiesGood organizational skillsAbility to work independently and as part of a teamPhysical Requirements and Work Environment:Service center environment with moderate noise level due to representatives talking, computers, printers, and floor activityIn today's ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you'll receive an email with next steps. This may include a link for an on-line pre-screening test that we ask you to complete as part of our selection process. You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail. Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We'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 millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.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 workplace. Candidates are required to pass a drug test before beginning employment. Keywords: UHG, UnitedHealth Group, Optum, Quest, Teterboro, Billing, Medical Billing, Call center, Collections, Insurance, healthcare, data entry
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.