This position is Remote within PST, CST or MST. You will have the flexibility to work remotely* as you take on some tough challenges.
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.
As part of the UnitedHealth Group family of businesses, we’re a dynamic new partnership formed by Dignity Health and Optum. We’ll count on your professionalism, expertise, and dedication help ensure that our patients receive the quality of care they need. So, if you’re looking for a place to use your passion, your ideas and your desire to drive change, this is the opportunity for you.
The Billing Representative is responsible for accurate and timely billing of UB-04 claims for acute hospital services. This role works closely with internal teams and hospital facilities to resolve claim edits, ensure compliance with CMS, State, and Payer regulations, and follow established billing matrices and workflows to support clean claim submission and optimal reimbursement.
This position is full-time, Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am – 2:30pm PST.
This will be on the job training and the hours during training will be normal business hours, Monday – Friday.
Primary Responsibilities:
- Prepare, review, and submit UB-04 claims for acute inpatient and outpatient hospital services
- Review and resolve claim edits by sending and responding to tasks in accordance with established processes
- Work directly with hospital facilities to obtain required documentation, clarify billing issues, and resolve discrepancies
- Follow detailed billing matrices, payer-specific instructions, and internal workflows
- Ensure all billing activities remain compliant with CMS guidelines, Medicare regulations, and internal compliance standards
- Identify and correct billing errors prior to claim submission to prevent denials
- Assist with claim follow-up, rebilling, and correction requests as needed
- Document all account activity clearly and accurately in billing systems
- Collaborate effectively with team members to meet department goals and deadlines
- Maintain productivity and accuracy standards in a high-volume acute care environment
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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+ year of Medicare (Part A & Part B) billing experience
- 1+ year of experience with UB-04 hospital (acute) billing
- Revenue Cycle experience
- Experience with Microsoft Office tools including Microsoft Word (creating and writing memos), Microsoft Excel (creating, filtering, and navigating reports in spreadsheets), and Microsoft Outlook (setting calendar appointments and emails)
- Ability to work Monday – Friday, 6:00am – 2:30pm PST
Preferred Qualifications:
- Billing OR collections experience and understands multiple billing requirements across different payors
- Ability to use remote meeting / learning applications including instant messaging and video conferencing
- DDE Experience (Medicare system)
Telecommuting Requirements:
- Reside within PST, CST or MST
- 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.
*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 $17.98 – $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
