Billing Representative

Company: UnitedHealth Group
Location: Redlands
Posted on: March 18, 2023

Job Description:

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.Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California, to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.Primary Responsibilities:

• Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer
• Maintains current working knowledge of CPT and ICD-9 codes, required modifiers and encounter data
• Generates claims from CDO system for data entry
• Reviews paper encounter forms to accuracy
• Performs data entry of encounter forms and copayments
• Assists with patient registration and insurance verification
• Maintains summary encounter data tracker report
• Reviews encounter forms for accuracy and completeness. Makes necessary corrections
• Prepares payments for data entry according to Payment Calculation policies and procedures
• Assists with patient billing inquiries
• Acts as liaison between Site Operations and Revenue Operations
• Applies knowledge of Medicare and Medi-Cal guidelines in reviewing claims to ensure appropriate use of modifiers and CPT/ICD-9 codes
• Corrects claims appearing on Edit Reports
• Serves as a resource to Optum staff on coding and general billing guidelines
• Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsYou'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 or equivalent experience
  • 1+ years of working in a billing or related role
  • Ability to demonstrate solid proficiency using MS Suite and other systems
  • Professional working knowledge of CPT & Diagnosis Coding, Medical Terminology, and basic AnatomyPreferred Qualifications:
    • Some college education
    • CPC certificate
    • 5+ years of medical billing and/or related job experience.
    • 1+ years of working in a healthcare setting
    • IDX experience
    • HMO/managed care experience
    • Bilingual Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.California Residents Only: The hourly range for California residents is $16.00 to $31.44. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. 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. 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: UnitedHealth Group, Redlands , Billing Representative, Accounting, Auditing , Redlands, California