UHG

About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Accounting/Finance

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Billing Representative - Marlborough, MA

UHG - Marlborough, Massachusetts

Posted: 11/12/2018

Healthcare isn’t just changing. It’s growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that’s what fueled these exciting new opportunities.

Who are we? Optum360. We’re a dynamic new partnership formed by Quest and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide.

If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It’s an opportunity to do your life’s best work.

Primary Responsibilities:

  • Focus efforts on increasing cash and reducing bad debt
  • Process and review claims and appeals
  • Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues
  • Make contact with insurance carriers, clients, patients and / or other outside sources
  • Regular research involving both the web and billing systems
  • Submit claims daily to Emdeon and work all errors and rejections
  • Process pre - authorizations and pre - determinations for all contracted insurances when appropriate
  • 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


Required Qualifications:
  • High School Diploma / GED (or higher)
  • 6+ months of experience in A / R which includes experience interpreting Explanation of Benefits for appropriate follow up action, completing refunds / adjustments to customer’s accounts, while providing necessary back - up information in order to maintain accuracy, contacting Third Party carriers to follow up on denied and un - responded claims, analyzing and applying denials, and experience processing and reviewing claims and appeals
  • Ability to create and modify spreadsheets within Microsoft Excel
  • Ability to use a keyboard for data entry skills
  • Ability to work overtime as needed and work Monday - Friday, 8 - hours a day between the hours of 7:00 am - 6:30 pm EST
Preferred Qualifications:
  • Associate’s Degree (or higher)
Soft Skills:
  • Ability to work within multiple applications with dual computer screens
  • Excellent communication skills
  • Demonstrated problem solving skills
  • Good organizational skills
  • Ability to work independently and as part of a team
Physical Requirements and Work Environment:
  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer
  • Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
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: billing, claims, medical claims, healthcare claims, office, UnitedHealth Group, Optum, OptumRx, training class, customer service representative, customer service, CSR, Data Entry, adjustments, phone support

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