Position Description:Healthcare isn't just changing.It's growing more complex every day. ICD-10 Coding replaces ICD-9. AffordableCare adds new challenges and financial constraints. Where does it all lead?Hospitals and Healthcare organizations continue to adapt, and we are vital partof their evolution. And that's what fueled these exciting newopportunities. Who are we? Optum360.We're a dynamic new partnership formed by Dignity Health and Optum to combineour unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, ourresources and experience to bring financial clarity and a full suite of RevenueManagement services to Healthcare Providers, nationwide. If you're looking for a better place to use yourpassion, your ideas and your desire to drive change, this is the place to be.It's an opportunity to do your life's best work.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.Primary Responsibilities:Interact with customers gathering support data to ensure invoice accuracy and also work through specific billing discrepanciesProvide input to policies, systems, methods, and procedures for the effective management and control of the premium billing functionEducate customers regarding the availability of receiving invoices and remitting payments through online applicationsMonitor outstanding balances and take appropriate actions to ensure clients pay as billedManage the preparation of invoices and complete reconciliation of billing with accounts receivablesMay also include quality assurance and audit of billing activities
Required Qualifications: High School Diploma / GED (or higher) 2+ years of work experience in either billing, claims processing or claims resolution in the medical industry (diagnosis codes, CPT codes etc) Microsoft Excel experience working with data on spreadsheets, filtering, sorting, saving Experience working with a PC and Windows applications including the ability to learn complex systems Ability to work from 7:00 am - 3:30 pm Monday through Friday with some flexibility and occasional overtimePreferred Qualifications: Experience working with pivot tables within Microsoft ExcelCareers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: Billing, Customer Service, Medical Billing, Patients, Research, Optum360, Quest Diagnostics, UHG, UnitedHealth Group, Optum, QBS, insurance
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.