Billing Representative - Remote in Marlborough, MA

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.

Are you looking for a chance to get your foot in the door with a great company? You have found it here. Already one of the world's leading health care companies, Optum, part of the UnitedHealth Group family of businesses, is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. Here, you are not just working. You are making great things happen for the people who rely on us for health care across the United States. Your part of an elite team that is equipped with the best tools and resources, the most thorough training and learning opportunities and a mission that can inspire you every day.

As a Billing Representative, you will work by phone or correspondence to gather missing information to ensure proper billing to clients, patients, or third - party insurances. This is an excellent opportunity for someone with previous customer service experience in a professional office setting who is interested in moving into a new area while learning additional skills. You will leverage your skills and have the ability to:

• Resolve calls while avoiding escalated complaints.
• Demonstrate empathy and compassion to customers.
• Triage and handle escalated situations.
• Adapt to changes in a fast - paced environment.
• Develop and maintain client relationships.

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 (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 AM - 5:30 PM EST. It may be necessary, given the business need, to work occasional overtime, weekends, and / or holidays. Our office is located at 200 Forest Street, Marlborough, MA. This position is remote, however, you must live within 1 - 1.5 hour commutable driving distance to the office.

We offer 2 - 6 weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment. The schedule for the training will be mirrored to your trainer's schedule.

If you are located within 1 - 1.5 hour driving distance to the office at 200 Forest Street, Marlborough, MA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Researches, obtains, and enters missing information / demographics for completion of accessions.
• Demonstrates competency in eligibility, billing and receivable systems and associated applications.
• Educates external customers on how to provide complete billing information and avoid additional contacts for information.
• Informs customers of billing problem / issue findings and resolution as appropriate.
• Makes outbound calls to clients, patients, carriers and / or any internal or external source as needed to obtain missing or additional information.
• Answers inbound calls from clients, patients, carriers and / or any internal or external source as needed to answer account inquires or resolve issues.
• Responds to account inquires through written correspondences.
• Handles sensitive client and patient interactions.
• Maintains timely, accurate documentation for all appropriate transactions.
• Generates and / or distributes reports and documentation to internal or external client to obtain missing information.
• Reports problems, errors, and denial trends to management including PHI breaches.
• Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient, and client satisfaction and attendance.

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
• Must be 18 years of age OR older
  
• 1+ years of experience in an office setting environment
• 1+ years of working experience with Microsoft tools including Microsoft Word (creating memos, writing), Microsoft Excel (creating spreadsheets, filtering, navigating reports), and Microsoft Outlook (setting calendar appointments, email)
• Ability with using computer and Windows PC applications, which includes keyboard and navigation skills and ability to learn new computer programs
• Ability to work any of our full time (40 hours / week), 8-hour shift schedules during our normal business hours of 6:00 AM - 5:30 PM EST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime, weekends, and / or holidays.

Preferred Qualifications:

• Certified medical coder OR involved with medical coding
• Previous work experience in a fast - paced environment requiring multi - tasking skills
• Previous work experience in a call center environment within the Healthcare / Insurance billing industry
• Previous work experience in a medical billing office
• Medical terminology acumen and experience
• Billing OR collections experience and understands multiple billing requirements across various payers and states

Telecommuting Requirements:

• Reside within 1 - 1.5 hour commutable driving distance to the office at 200 Forest Street, Marlborough, MA
• 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 resolve calls, avoiding escalated complaints
• 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
• Ability to work independently and as part of a team
• Conducts data entry for completion of accessions using computer and Windows PC applications

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

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.

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.

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