Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
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 6:00 am – 6:00 pm PST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of training. The hours of the training will be aligned with your schedule.
You’ll enjoy the flexibility to telecommute*from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Billing according to Medicare guidelines.
- Follow up directly with Medicare regarding outstanding claims.
- Filing appeals directly with Medicare
- Perform research on various computer systems and document customer information regarding status, payment expectations, and other relevant information
- Use mail, email, and phones to contact customers to discuss, negotiate payment and resolve outstanding medical bill accounts and balances
- Obtain agreement on potential balance payoff and/or payment terms within stated level of authority and guideline limits
- Prepare and submits reports to internal management on status of outstanding medical bills and proposed/planned payment settlement details
- Record correspondence information (e.g., dates; action taken) within relevant collection systems
- Strong working knowledge of all areas related to the resolution of Medicare accounts and the regulatory requirements. Overall skills would be specific to the type of accounts handled,
- Knowledge of Coordination of Benefits relative to primary versus secondary payers according to contractual and governmental guidelines
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 or older
- Experience billing Medicare in a hospital/facility setting.
- Experience working with UB04 form
- Strong computer skills, including working knowledge of Microsoft Windows and navigation, mouse, and keyboarding skills
- Ability to work an 8-hour shift between the hours of 06:00 AM – 06:00 PM PST, Monday – Friday.
Preferred Qualification
- Working knowledge of EPIC
- Experience with Medicare claim follow up
Telecommuting Requirements:
- 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
- Must be able to work tactfully and professionally with patients, family members, hospital staff, medical staff, and outside payers
- Must be able to problem solve, multitask efficiently, organize, and prioritize multiple tasks
- Strong verbal and written communication skills are critical when working with payers
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.54 – $32.55 per hour. 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 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
