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Billing Representative (Third Party) - National Remote

UnitedHealth Group
Phoenix, Arizona, United States
Closing date
Oct 13, 2022

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Job Role
Credit Control
Contract Type
Full Time
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You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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.SM

As a Billing Representative supporting the Third-Party Claim Development and Remittance Application process, you will utilize various methods to reconcile Accounts Receivable for the purpose of collecting and / or posting revenue for the organization. You will work to reconcile, and problem solve issues related to patient, client and / or third-party insurance bills. You'll play a critical role in creating a quality experience that impacts the financial well-being of our patients. You'll be the expert problem solver as you work to quickly identify, analyze and resolve issues in a fast-paced environment. This is your chance to take your career to the next level as you support teams by reviewing and investigating claims. Bring your listening skills, emotional strength and attention to detail as you work to ensure every claim has a fair and thorough review.

You will leverage your skills and have the ability to:
  • Demonstrate basic math skills using computer keyboard and calculators
  • Multi-task and work independently and as part of a team.
  • Demonstrate excellent communication, organization and problem solving
  • Adapt to change in a fast-paced environment
  • Joining a cross functional focused team with many opportunities for cross-training and skill / career development

If selected for this position, it is required that you successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role.

This position is full - time (40 hours / week) Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM. It may be necessary, given the business need, to work occasional overtime, weekends, and / or holidays. This position is primarily telecommute, however, you must be available to go into the office as needed for training, meetings, etc., depending on business needs. Training will be conducted virtually from your home.

*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
  • Applies third party, client and patient payments and denials to patient accounts both manually and electronically
  • 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
  • Completes timely carrier recoupment requests
  • Resolves and researches misdirected cash issues
  • Conducts data entry and remittance posting and reconciliation activities
  • 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' experience within the Healthcare / Insurance billing industry
  • Experience using computers and Windows PC applications, including keyboard and navigation skills and ability to learn new computer programs
  • Ability to work any 8-hour shift between the hours of 8:00 AM - 5:00 PM including the flexibility to go into the office as needed for training, meetings, etc., work occasional overtime, weekends, and / or holidays based on business need
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Preferred Qualifications:
  • Some College level (or higher)
  • Medical terminology acumen and experience

Telecommuting Requirements:
  • Reside within a 1 - 1.5 hour commutable distance from any UHG office
  • 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)
  • Reside 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
  • Ability to triage and handle escalated situations
  • Ability to work in a fast - paced environment
  • Ability to adapt to changes
  • Ability to develop and maintain client relationships
  • Ability to resolve calls, avoiding escalated complaints
  • Ability to exhibit empathy and be courteous to callers

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 that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether 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 journey. Learn more at

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible.

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.SM

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $16.00 - $26.88. The salary range for Connecticut / Nevada residents is $16.83 - $29.66. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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: #RPO, #YELLOW
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