7 days old

Billing Service Specialist - Work from Home - 917710

New York, NY 10007
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  • Job Code
    917710

Healthcare isnt just changing. Its 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 thats what fueled these exciting new opportunities.

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Who are we? Optum360. Were a dynamic new partnership formed by Quest and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, well 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.

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If youre looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. Its an opportunity to do your life's best work. SM

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As a Billing Service Specialist, this position will be based in the New York, NY 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 missing information inflows, revenue loss, denial inflow, 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, NY area, visiting 6-8 clients in a day with one day per week for office work. Some overnight travel may be required.

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If you are located in the New York, NYyou will have the flexibility to telecommute* as you take on some tough challenges.

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Training will be conducted virtually from your home.

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Primary Responsibilities:

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  • 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, self-pay write-offs, and third-party denials.
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  • Conduct Client visits (Virtual/In Person). Account visits will be prioritized based on evaluation of trends that show education needs in: ""
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    • Medicare Limited Coverage Policy/ABN
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    • Medicaid requirements/policies
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    • Regional specific third-party requirements/policies
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    • Ordering provider registration (PECOS)
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    • Missing demographic/insurance information for ordering physician and patient
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  • Support Commercial Sales team with client training and education as required for large new customers and/or new billing initiatives.
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  • Act as liaison for customer billing problems as necessary and communicate those to the appropriate person or department for resolution.
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  • Drive improvement to defined goals.
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  • Document all significant client interaction in CRM application (Salesforce.com).
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  • Other duties as assigned including special projects, etc.
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Youll 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.

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Required Qualifications:

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  • High School Diploma / GED (or higher)
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  • 3+ years of experience with healthcare medical billing/claims experience
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  • Intermediate Microsoft Office Suite skills: Microsoft Excel (ability to sort, sum, insert bar graphs and use formulas, create and edit data in spreadsheets), Microsoft Word (ability to create documents and complete mail merging), Microsoft Outlook (ability to manage email, calendar, and task lists)
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  • Access to reliable transportation that will allow you the ability to travel up to 90% of the time to client sites.
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  • Cell phone and internet connectivity available for work use.
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  • If you need to enter a work site for any reason, you will berequiredto screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:

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  • Associate's Degree (or higher)
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  • Experience working with data pulling and analyzing information to understand root cause/trends/opportunities.
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  • 3+ years of experience with face to face/virtual customer relationship management
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  • Knowledge of Medicare/Medicaid coverage policies.
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  • Knowledge of ICD-10 coding and rules.
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  • Microsoft Access experience (creating database tables, entering records, finding data)
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Soft Skills:

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  • Strong Written/Verbal Communication skills
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  • Strong organization/time management skills
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  • Strong problem-solving skills.
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  • Ability to develop and sustain good customer relationships.
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  • Experience working independently and as part of a team.
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UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

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You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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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 lifes best work.SM

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Healthcare is not just changing. It is 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 is what fueled these exciting new opportunities.

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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.

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

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Keywords: Billing, Account Management, billing, claims, medical claims, healthcare claims, office, UnitedHealth Group, Optum, training class, customer service representative, customer service, CSR, Data Entry, adjustments, phone support, hiring immediately, Field based, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #rpo

Posted: 2021-06-07 Expires: 2021-07-07

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 Service Specialist - Work from Home - 917710

UnitedHealth Group
New York, NY 10007

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