Billing Representative - Norristown, PA

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.

As a Billing Representative - Third Party you'll play a critical role in creating a quality experience that impacts the financial well-being of our patients. You'll be the expert problem solver as you work to quickly identify, analyze and resolve issues in a fast-paced environment. This is your chance to take your career to the next level as you support teams by reviewing and investigating claims. Bring your listening skills, emotional strength and attention to detail as you work to ensure every claim has a fair and thorough review.

You will leverage your skills and have the ability to:

• Multi-task and work independently and as part of a team.
• Demonstrate excellent communication, organization and problem solving
• Adapt to change in a fast-paced environment
• Join a cross functional focused team with many opportunities for cross-training and skill/career development

If selected for this position, it is required that you successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 3:30pm EST. It may be necessary, given the business need, to work occasional overtime. Employees are required to work 3 days onsite and 2 days from home. However, you must be available to go into the office as needed for training, meetings, etc., depending on business needs.

We offer 2 weeks of paid training. The hours of the training will be aligned with your schedule. Training will be conducted onsite.

If you are within commutable distance to the office at 400 Egypt Rd Norristown, PA 19403, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

Primary Responsibilities:

• Open and sort all incoming mail
• Communicate with team members and leadership effectively
• Print and mail out all third party and patient refund checks generated by team members along with documentation saved in the refund database.
• Document all return mail bill numbers and post bad address denials to claims.
• Processing changes to bill from Client to insurance.
• Pull and send invoices to clients when requested - may involve calling client offices to obtain information.
• Working E invoice inactive or return mail by calling clients to find a correct address and updating that in QBS
• Processing billing adjustments in QBS and WBS
• Complies with departmental Business Rules and Standard Operating Procedures.
• Interprets explanation of benefits for appropriate follow up action.
• Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.
• Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
• Conducts data entry and re-work for adjudication of claims.
• Works on various other projects as needed.
• Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.
• This position is full-time (40 hours/week) Monday - Friday. It may be necessary, given the business need, to work occasional overtime and/or weekends or holidays.

You'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 work experience.
• Must be 18 years OR older
• Ability using computer and Windows PC applications, such as Outlook, Excel, and instant message.
• Keyboard and navigation skills and ability to learn new computer programs
• Ability to work full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 3:30pm EST. It may be necessary, given the business need, to work occasional overtime. Employees are required to work 3 days onsite and 2 days from home. However, you must be available to go into the office as needed for training, meetings, etc., depending on business needs.
• Ability to work onsite three days a week at 400 Egypt Rd Norristown, PA 19403 and two days remote.

Telecommuting Requirements:

• Reside within commutable distance to the office at 400 Egypt Rd Norristown, PA 19403
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Soft Skills:

• Ability to exhibit empathy and be courteous to callers.
• Ability to triage and handle escalated situations.
• Ability to work in a fast-paced environment.
• Ability to adapt to changes.
• Ability to develop and maintain client relationships.
• Good communication skills.
• Previous work experience in a fast-paced environment requiring strong multi-tasking and problem-solving skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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