Experienced Full Stack Billing Representative - Remote in Norristown, PA - Revenue Cycle Management and Patient Financial Services

About Us

At Optum, a global organization that delivers care, aided by technology to help millions of people live healthier lives, we're passionate about making a difference in the lives of our patients and communities. As a Billing Representative - Remote, you'll be 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. Our Division within Optum partners with Quest Diagnostics to combine our unique expertise, leveraging our compassion, our talent, our resources, and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers nationwide.

Job Summary

We're seeking an experienced and motivated Billing Representative to join our team in Norristown, PA. As a Billing Representative - Remote, 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, leveraging your skills and expertise to drive success.

Key Responsibilities

• Analyzes and applies denials to third-party carriers in all media types.
• Complies with departmental Business Rules and Standard Operating Procedures.
• Focuses efforts on decreasing the Accounts Receivable, 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 manipulates 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.
• Conducts data entry and re-work for adjudication of claims.
• Works on various other projects as needed.
• Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction, and attendance.

Essential Qualifications

• High School Diploma/GED or equivalent work experience.
• Must be 18 years of age or older.
• Experience with Microsoft Word (create correspondence and work within templates) and Microsoft Outlook (email and calendar management).
• Experience with working with Microsoft Excel (data entry, sort/filter, and work within tables).
• Keyboard and navigation skills and ability to learn new computer programs.
• Ability to come onsite if needed for meetings in Norristown, PA.
• Ability to work an 8-hour shift between the hours of 07:00 AM - 06:00 PM EST from Monday - Friday, including the flexibility to work occasional overtime based on business need.

Preferred Qualifications

• 1+ years of experience in A/R, Billing, and Customer Service, Insurance, or Healthcare.
• Medical terminology acumen and experience.

Telecommuting Requirements

• Reside within a commutable distance from Norristown, PA.
• 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

• Ability to adapt to changes.
• Ability to develop and maintain client relationships.
• Previous work experience in a fast-paced environment requiring multi-tasking and problem-solving skills.
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Compensation and Benefits

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 401(k) contribution (all benefits are subject to eligibility requirements).

Career Growth Opportunities and Learning Benefits

At UnitedHealth Group, we believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. We're 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. As a Billing Representative - Remote, you'll have the opportunity to develop your skills and expertise, working with a talented team of professionals who are passionate about making a difference in the lives of our patients and communities.

Work Environment and Company Culture

Our Division within Optum partners with Quest Diagnostics to combine our unique expertise, leveraging our compassion, our talent, our resources, and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers nationwide. We're a diverse and inclusive organization, committed to creating a healthier atmosphere for our employees, patients, and communities. We believe in the importance of work-life balance and offer a range of benefits and incentives to support our employees' physical, emotional, and financial well-being.

How to Apply

If you're a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We're excited to review your application and look forward to the opportunity to discuss this role further.