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Business Office Specialist - Rancho Cordova, CA

UnitedHealth Group


Location:
RANCHO CORDOVA, CA
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1792325
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Job Details


Business Office Specialist - Rancho Cordova, CA(Job Number:732271)
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.

As a Business Office Specialist with Optum360, you will work with your team members to help identify and resolve issues and serve as a resource for day - to - day operations. Your primary role will be to contact and consult with patients and / or their families who have outstanding medical bills. While ensuring that payment is received for these bills is important, you will also need to provide assistance and support to these individuals as they may be dealing with a medical or financial crisis.

Primary Responsibilities:
  • Serve as a resource or Subject Matter Expert (SME) for other team members or internal customers to help identify and resolve issues
  • Handle escalated and complex customer issues, helping to provide resolution and settlement of account
  • Contacts customers through a variety of methods (email, form letters and phone calls) to discuss, negotiate payment and resolve outstanding medical bill accounts and balances
  • Obtains agreement, after discussion with customer, on potential balance payoff and / or payment terms within stated level of authority and guideline limits
  • Performs research and documents on various computer systems customer information regarding current status, payment expectations, notes of conversations and other relevant information
  • Prepares and submits reports to internal management on status of outstanding medical bills and proposed / planned payment settlement details
  • May in some instances transfer settlement of account and related information to external collection agencies and remains in contact with them regarding further payment activity
  • Reviews, documents, and analyzes all findings for payments, recoupments, and denials
  • Understands and articulates the client appeal rights with both government auditing programs
  • Maintains strict adherence to appeal requirements and associated timeframes
  • Adherence to timely completion of all assigned tasks within appeal software
  • Maintain communication with payers, both government and non - government, and provide follow - up activity as necessitated to secure information regarding payment, re - coupments, denials, and clarification of correspondence
  • Provide reconciliation findings and escalate any trends or items of concern
  • Maintains database information relative to financial activity
  • Other duties as assigned by the Recovery Audit Supervisor, or designated Audit and
  • Denials leadership
  • Works independently in a team environment
  • May act as a resource for others
  • May coordinate other's activities

Job Collections
Primary Location US-CA-RANCHO CORDOVA
Other Location 
Organization O360 Dignity Health Back Ops
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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