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Billing Representative - West Hills, CA

UnitedHealth Group

WEST HILLS-California, CA
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Job Details

735599 Billing Representative West Hills CA

Billing Representative - West Hills, CA (735599)

Position Description

Position Description:

Healthcare isn’t just changing. It’s growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that’s what fueled these exciting new opportunities.

Who are we? Optum360. We’re a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide.

If you’re looking for a better place to use your passion, 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.

Primary Responsibilities:

  • Focused efforts on increasing cash and reducing bad debt
  • payments and denials to third party carriers in all media types
  • Interpret 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 unresponded claims
  • Analyze and denials
  • Process and review claims
  • Perform screen scrapes
  • Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues
  • Handle patient indigency and bankruptcy claims
  • Make have contact with insurance carriers, clients, patients and / or other outside sources
  • Regular research involving both the web and billing systems
  • May be a certified Medical Coder and / or involved with medical coding.
  • 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
  • 1+ years of experience working within A / R, Billing, Banking, Accounting OR 3+ years of Customer Service experience in a cash handling role
  • Must know how to create 2+ of the following with Microsoft Excel (pivot tables, v-lookups, or formula functions)
  • Available to work 40 hours a week, Monday through Friday, 8 hours a day between the hours of 7:00 AM – 4:30 PM PST; in addition you must be available to work 1 Saturday per month and other additional overtime during the week as needed.

Preferred Qualifications:

  • Ability to type 35+ WPM
  • SQL and Microsoft Access Database knowledge

Soft Skills:

  • Superb written and oral communication skills

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

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, coding, a/r, banking, csr

Job Details

  • Contest Number735599
  • Job TitleBilling Representative - West Hills, CA
  • Job FamilyBilling
  • Business SegmentOptumInsight

Job Location Information

  • WEST HILLS-California, CA
    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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