This position is National Remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week.*
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
Job Summary
Assist Operations Manager with projects, provides support, conducts staff audits and trains staff on AR Follow-up functions. Also, may assist with AR Follow up of outstanding A / R all payers and / or including resolution of denials, handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability. Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports. May serve as a back-up for data entry, payment posting and reconciliation. Ability to research and resolve accounts appearing on Aged AR Report, Payment and Credit Balance reports as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement. Responsible for review and approval of Refunds and RFIs - request for additional information as needed.
This employee works with a specific department coordinating work with the Operations Manager, other Team Leads and the team to achieve goals.
This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.
Primary Responsibilities:
- Meet productivity standards as outlined in client metrics
- Identify any issues or trends and bring them to the attention of management team
- Work on special projects as assigned
- Train others and Q / A work of others as assigned
- Other duties as assigned
- AR Follow up of outstanding A / R all payers and research and resolve accounts appearing on Aged AR Report
Competencies:
- Thorough knowledge of the A / R Process
- Ability to meet position metrics goals (KPI's)
- Strong written and verbal communication skills
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
- Must 18 years of age OR older
- 3+ years of Physician Billing AR work experience
- Comprehensive knowledge of Physician Billing A / R process
- Epic experience with Professional Billing
- Working knowledge of California payers / insurances
- Ability to work any of our full time (40 hours / week), shift schedules during our normal business hours of 8:00 am - 5:00 pm local time from Monday - Friday, including the flexibility to work occasional overtime given the business need
Preferred Qualifications:
- Healthcare and / or insurance billing, processing or customer service
Telecommuting Requirements:
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- 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:
- Organized
- Detail Oriented
- Ability to multi-task
- Work well with others
- Computer literate
*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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24 - $43 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 believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. 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 Group 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.