Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start
Caring. Connecting. Growing together.
This position is full-time. Employees are required to work our normal business hours of 7:00am - 4:30pm, Monday - Friday. It may be necessary, given the business need, to work occasional overtime.
We offer 6 weeks of paid training. The hours during training will be 8:00am - 4:30pm, Monday - Friday. Training will be conducted virtually from your home.
If you are located within the Eastern Standard Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities
- Focused efforts on increasing cash and reducing bad debt.
- Apply payments and denials to third party carriers in all media types
- Interpret Explanation of Benefits for appropriate follow up action.
- Complete refunds/adjustments to customer’s accounts, while providing necessary back-up information in order to maintain accuracy.
- Contact Third Party carriers to follow up on denied and unresponded claims.
- Analyze and apply denials.
- Process and review claims.
- May have contact with insurance carriers, clients, patients and/or other outside sources.
- Regular research involving both the web and billing systems.
- Maintain Compliance and HIPAA standards at all times.
- Meet or exceed daily production standards.
- Meet or exceed daily quality standards.
- Ability to work on various other projects as needed.
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 be 18 years of age OR Older
- 1+ years of experience in A/R, Billing, or Collections
- Ability using computers and Windows PC applications, which includes strong keyboard and navigation skills and ability to learn new computer programs
- Experience with Microsoft Excel - (general spreadsheet navigation, data entry and sorting)
- Experienced with Microsoft Outlook - (create/schedule meetings, calendar invites, and create folders)
- Ability to work our normal business hours of 7:00am - 4:30pm, Monday - Friday. It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications
- 1+ years of Healthcare experience
- Previous experience with medical claims processing
- Medical terminology knowledge/experience
- Experience with posting cash payments
- Strong math skills
Telecommuting Requirements
- Reside within the Eastern Standard Time Zone
- 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
- Previous work experience in a fast-paced environment requiring strong multi - tasking and problem-solving skills
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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.
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.
#RPO
