This position is Remote in West Hills, CA. If you are located within commutable distance to the office at 8407 Fallbrook Ave West Hills, CA 91304, 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.
We’re a dynamic 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.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am – 5pm PST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of training during normal business hours.
Primary Responsibilities:
- Responsible for managing Third – Party AR by analyzing denied and un-responded claims
- Outbound calls to insurance carriers to appeal and check claims status
- Post explanation of benefits
- Coordinate with insurance carriers to reconcile / resolve any issues
- Familiar with explanation of benefits
- Maintain Compliance and HIPAA standards at all times
- Meet or exceed daily production standards by maintaining work list according to metrics
- Meet or exceed daily quality standards
- Perform other duties and functions as assigned
- Process insurance / patient refunds and adjustments
- Evaluate and respond to all emails request for any deposit issues in order to resolve in a timely matter
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
- Ability to create and modify spreadsheets within Microsoft Excel
- Ability to work between the hours of 8:00 am – 5:00 pm PST from Monday – Friday
Preferred Qualifications:
- Medical Billing experience
- Familiar with explanation of benefits
Telecommuting Requirements:
- Reside within a commutable distance from 8407 Fallbrook Ave West Hills, CA 91304 with ability to come onsite for meetings
- 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 navigate on internet for researching purposes
- Problem solving, organization and interpersonal skills
- Ability to work independently and as part of a team
- Communication skills, both verbal and written
*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 $16.00 – $27.69 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.
