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Billing Representative - Marlborough, MA

UnitedHealth Group

Marlborough, MA
Job Code:
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Job Details

752713 Billing Representative Marlborough MA

Billing Representative - Marlborough, MA (752713)

Position Description

Position Description:
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.

Primary Responsibilities:
  • Focused efforts on increasing cash and reducing bad debt
  • Process and review claims and appeals
  • Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues
  • Make contact with insurance carriers, clients, patients and / or other outside sources
  • Regular research involving both the web and billing systems
  • Submit claims daily to Emdeon and work all errors and rejections
  • Process pre-authorizations and pre-determinations for all contracted insurances when appropriate
  • 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
Required Qualifications:
  • High School Diploma / GED
  • 6+ months of experience in A / R (which includes experience interpreting Explanation of Benefits for appropriate follow up action. Complete refunds / adjustments to customer’s accounts, while providing necessary back-up information in order to maintain accuracy. Contact Third Party carriers to follow up on denied and un-responded claims. Analyze and denials. Experience processing and reviewing claims and appeals.)
  • Ability to create and modify spreadsheets within Microsoft Excel
  • Ability to work overtime as needed and work Monday - Friday, 8-hours a day between the hours of 7:00am - 6:30pm pm EST
  • Ability to use a keyboard for data entry skills
Preferred Qualifications:
  • Associate’s Degree or higher
Soft Skills:
  • Ability to work within multiple applications with dual computer screens
  • Excellent communication skills
  • Demonstrated problem solving skills
  • Good organizational skills
  • Ability to work independently and as part of a team
Physical Requirements and Work Environment:
  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer
  • Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
Careers 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, claims, medical claims, healthcare claims, office, UnitedHealth Group, Optum, OptumRx, training class, customer service representative, customer service, CSR, Data Entry, adjustments, phone support

Job Details

  • Contest Number752713
  • Job TitleBilling Representative - Marlborough, MA
  • Job FamilyBilling
  • Business SegmentOptumInsight

Job Location Information

  • Marlborough, MA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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.

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