What are the responsibilities and job description for the Billing Representative position at UnitedHealth Group?
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.
Primary Responsibilities:
- Accurate posting and completion of Patient/Payer remits/Lockboxes/EOB, etc on CPR
- Be able to analyze EOBs at a claim level in addition they should find trends impacting dollar and #’s, leading to process improvements
- Reconcile payments from the bank to accounts balances in Infusion Cash platform
- Analyze and trend data, recommending solutions to improve FTR to reduce age of overall cash received for Infusion Cash
- Develop relationships with payers to obtain remits and resolve root causes
- Assure that timely and accurate follow up if performed on any remittance issues
- Identify issues/trends and escalate to Supervisor / Manager when assistance is needed
- Provide exceptional Customer service to internal and external customers
- Work with onshore partners to ensure that reconciliations are complete and accurate
- Develop relationships with other departments to provide feedback about root cause issues
- Adhere to Regulatory / Payer Guidelines and policies & procedures
- Other duties as assigned
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
- Any Graduate
- Experience in gathering support data to ensure invoice accuracy and work through specific billing discrepancies
- Experience with Windows personal computer applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
- Good knowledge on Revenue Cycle Management and Health care
Preferred Qualifications:
- Experience in RCM /Cash Posting
- Ability to work a full-time (40 hours/week) Monday - Sunday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 3:30PM to - 3:30AM IST
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.
Salary : $1 - $1,000,000