1+ months

Billing Representative - Greensburg, PA

Greensburg, PA 15601
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  • Job Code
    834800

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


All of us have a short list of the things that make a job great. If your list includes being able to make a difference, count us in as your next place to work. UnitedHealth Group is a Fortune 5 leader in health care at a time when health care is evolving for everyone. Our billing teams are part of an important chain of events that impact the lives of our members in positive ways. Join this group and we'll have an impact on you. Apply now and discover the exceptional training, support and opportunities to grow that you'd expect from a Fortune 5 leader.


What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you'll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.


Primary Responsibilities:

  • Regular, consistent, on - site, and timely attendance
  • Fiscal Accountability. Hold self and others accountable for departmental processes in order to obtain maximum reimbursement for services and successful flow of the revenue cycle

    • Monitor and evaluate the processing of billing forms / statements and payments in a timely, accurate manner. Troubleshoot when issues arise and follows through to resolution
    • Monitor and evaluate the completion of reports that expedite the adjudication of accounts pended for edits, delayed for payment, and / or scheduled for follow - up Identify and notify management, with recommendations, when processes fail due to poor staff performance or system issues
    • Identify and evaluate payer denials through systematic review in order to identify and correct issues. Recommends changes to management for consideration, implement changes, and follow through to completion
    • Keep abreast of government and payer rules and regulations governing a compliant Business Office
    • Provide direction and assistance to staff if difficult situations arise
    • Coordinate and schedule work to maintain adequate staffing levels and insure the successful flow of the revenue cycle
    • Maintain workable knowledge of patient charge processes in order to identify errors and properly identify areas to direct a request for proper corrective action

  • Customer Focus. Assess customers' needs and consider customer in decision - making processes to ensure customer satisfaction

    • Greet the customer in a polite and professional manner whether it is on the phone, or face to face. Receive customers and / or answers telephone courteously, determine need, and respond appropriately
    • Provide training to develop staff to respond to customer issues (intradepartmental, interdepartmental, and patient based) timely and to the satisfaction of the customer
    • Monitor the appropriate follow - up to staff issues and insures that further advancement of processing accounts is performed to the satisfaction of the patient
    • Directs all "special projects" assigned to the staff. Assures completion is accurate and within the identified time frame. Provides periodic updates of progress to management

  • Initiative & Motivation. Act promptly to resolve patient account issues. Influence and persuade others to build commitment

    • Act as a role model for others by striving for excellence, displaying a positive attitude, and actively supporting the team concept
    • Provide direction to staff in daily procedures by providing feedback in the managing of accounts receivable on a day to day basis; i.e., percentage of accounts greater than 90 days and cash collected
    • Rely on extensive experience demonstrated by exercising good judgment and demonstrating high performance levels
    • Identify and recommends to management operational policies which may eliminate duplication of effort and improve staff productivity
    • Volunteer to work additional hours or offers to contribute to on - going / special assignments outside the scope of their own specific functions

  • Communication. Provide constructive feedback and clearly expresses ideas

    • Communicate with management all issues that impact the accurate and timely completion of all assigned tasks for staff and oneself
    • Act as a liaison between the staff and other departments when issues arise. Research issues and act to familiarize oneself with interdepartmental needs in order to make suggestions which initiate change in the refinement of processes
    • Actively participate in writing workflow instructions for staff when new or revised processes arise. Proceed to monitor and evaluate workflow for satisfactory compliance
    • Assist in the development and administration of education materials for the staff
    • Provide input into performance appraisals and disciplinary actions for staff

  • Monitors and manages patient's accounts

    • Insure all activities on patient accounts are processed daily
    • Enter charges in a timely and accurate manner
    • Review patient statements and self - payments daily, processes adjustments and corrections daily
    • Process collection agency correspondence as necessary
    • Provide itemized statements upon request
    • Review and process insurance contractual adjustments to patient accounts
    • Review and process for credit balances on patient accounts to insure daily credits are processed appropriately and timely
    • Insure appropriate follow - up is taken whenever necessary to capture all reimbursement
    • Stay current with coding and billing rules and regulations

  • Process non direct patient billing functions

    • Take appropriate action for legal correspondence, including litigation, estate and bankruptcy
    • Process data entry for non A / R cash posting for non - patient cash received
    • Prepare daily and monthly financial reporting spreadsheets for department supervisor
    • Assist in scheduling end of day and end of month closings for certain databases

  • Perform duties as necessary to insure the efficient functioning of the physician billing office

    • Process mail daily to insure payment posting, claims processing etc. are completed in a timely manner
    • Follow up on all mail returns

  • Coordinate communications with the practice sites

    • Monitor and identify issues related to practice site functions to insure timely, accurate claims / billing process
    • Provide timely feedback / education to the practice sites to promote accurate claims processing
    • Provide leadership appropriately
    • Assign ICD 10 codes based on physician documentation in medical record
    • Keep up - to - date on significant changes in coding / policies and report these changes to billers and physician office staff

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Posted: 2019-06-26 Expires: 2019-10-07

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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Billing Representative - Greensburg, PA

UnitedHealth Group
Greensburg, PA 15601

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