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Billing Service Specialist - Teterboro, NJ

UnitedHealth Group

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Job Details

745918 Billing Service Specialist Teterboro NJ

Billing Service Specialist - Teterboro, NJ (745918)

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.SM
As a Billing Service Specialist, this position will be based in the Teterboro, NJ area and be responsible for representing Optum360 / Quest Diagnostics to our clients in a professional manner.  This role will streamline, improve and enhance the billing experience for physicians, office staff and patients through education while reducing revenue loss, denials and bad debt for Optum360 and Quest. The Billing Service Specialist will be required to work in the field (outside an office) at least 90% of the time in and around the New York City area, visiting 6-8 clients in a day with one day per week for office work.  Some overnight travel may be required. 
Primary Responsibilities:
  • Improve billing data quality through the education and account management of customers, with efforts and emphasis to reduce missing information, bad debt, non-supported diagnosis / non-covered test write - offs, and third party denials. 
  • Conduct Client visits. Account visits will be prioritized based on evaluation of trends that show education needs in:
    • Medicare Limited Coverage Policy / ABN
    • Medicaid requirements/policies
    • Regional specific third party requirements/policies
    • Ordering provider registration (PECOS)
    • Missing demographic/insurance information for ordering physician and patient
  • Support Commercial Sales team with client training and education as required for large new customers and / or new billing initiatives.
  • Act as liaison for customer billing problems as necessary and communicate those to the appropriate person or department for resolution.
  • Drive improvement to defined goals.
  • Document all significant client interaction in CRM application (
  • Other duties as assigned including special projects, etc.
Required Qualifications:
  • High School Diploma / GED or higher
  • 3+ years of experience with healthcare medical billing/claims experience
  • Experience working with  MS Excel  filter, sorting, editing data plus the ability to work with pivot tables
  • Ability to travel up to 90% of the time to client sites
  • Access to reliable transportation that will enable travel to client and / or patient sites within a designated area
  • 1+ years of work experience in root cause analysis - identifying an issue, researching cause and providing resolution
  • 1+ years of work experience in insurance denials
Preferred Qualifications:
  • Associates Degree or higher
  • 3+ years of experience with face to face customer relationship management
  • Experience working independently and as part of a team
  • Knowledge of Medicare / Medicaid coverage policies
  • Availability of cell phone and internet connectivity available for work use
Soft Skills:
  • Strong Written / Verbal Communication skills
  • Strong organization/time management skills
  • Strong problem solving skills
  • Ability to develop and sustain good customer relationships 
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.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: UnitedHealth Group, Teterboro, New York City, Billing Service Specialist, Healthcare, Billing, Medical Claims, root cause analysis, insurance denials

Job Details

  • Contest Number745918
  • Job TitleBilling Service Specialist - Teterboro, NJ
  • Job FamilyCustomer Services
  • Business SegmentOptumInsight

Job Location Information

  • TETERBORO-New Jersey, NJ
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusExempt

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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