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This function is responsible for medical and ancillary product premium billing. Positions in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific billing discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing function. Educate customers regarding the availability of receiving invoices and remitting payments through online applications. Monitor outstanding balances and take appropriate actions to ensure clients pay as billed. Manage the preparation of invoices and complete reconciliation of billing with accounts receivables. May also include quality assurance and audit of billing activities.
Note: Positions mainly responsible for more general A / R activities which do not include medical and ancillary premium billing activities can be found in the Accounts Receivable function in the Finance job family. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.
Set up new client accounts and run credit checks to ensure client is credit worthy
Review international requisitions and contact clients to obtain necessary payments and / or approvals and release from hold or cancel as appropriate
Data - entry backup for all client requisitions
Work all client problems on Carryover Report and release from hold or cancel as appropriate
Send out monthly invoices and include additional info, such as spreadsheets / requisitions / EOBs for special clients
Aggressively pursue all client accounts with outstanding balances. Send demand letters as appropriate and report delinquent accounts to finance monthly
Review client short pays and resolve in a timely manner
Work with the pricing team to update accounts and invoices when retro - pricing is involved
Prepare and submit write - offs, refunds, transfers for client and international accounts
Exercise proper judgment in bringing issues and problems affecting client collections and reimbursement to the attention of sales rep, supervisor, etc
Maintain call records using the Client Collections Database
Address customer issues and problems within 48 hours, by engaging all responsible parties to drive timely resolution and reduce client dissatisfaction
Prepare various reports, such as Client Utilization, Special Pricing, etc. when requested
Maintain and updates job aids and SOP's
Other duties, tasks and projects as assigned
Maintain Compliance and HIPAA standards at all times
Meet or exceed daily production standards
Meet or exceed daily quality standards
Ability to work on various other projects as needed
Extensive work experience within own function.
Work is frequently completed without established procedures.
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.