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Acute Care Billing Representative - Rancho Cordova, CA or Irving, TX

Company: UnitedHealth Group
Location: Irving
Posted on: November 12, 2019

Job Description:

Healthcareisnt just changing. Its growing more complex every day. ICD - 10 Codingreplaces ICD - 9. Affordable Care adds new challenges and financialconstraints. Where does it all lead? Hospitals and Healthcare organizationscontinue to adapt, and we are vital part of their evolution. And thats whatfueled these exciting new opportunities.Who are we? Optum360 . Were a dynamic new partnership formed byDignity Health and Optum to combine our unique expertise. As part of thegrowing family of UnitedHealth Group , well leverage our compassion, ourtalent, our resources and experience to bring financial clarity and a fullsuite of Revenue Management services to Healthcare Providers, nationwide.If youre looking for a better place to use yourpassion, your ideas and your desire to drive change, this is the place to be.Its an opportunity to do your lifes best work.SMThis function is responsible forbilling, re-bills and follow up based on policies, systems, methods, andprocedures for the effective management and control of Regulatory Operationsfunctions. Monitor accounts that have been corrected for re-bill and takeappropriate actions to ensure the accounts are follow up correctly and in atimely manner.Primary Responsibilities:

  • Strong analytical skills with experience in pulling and analyzing data from hospital re-billing and related hospital information systems.
  • To ensure accounts are followed up correctly and timely until resolution.
  • Applies comprehensive knowledge and understanding of basic compliance concepts, principals and technical capabilities to performed varied tasks and projects.
  • Strong written and verbal communication skills.
  • Review and ensure all bills are correct or have been properly corrected prior re-billing.
  • Review and accurately maintain the re-bills tracking log.
  • Provide input to policies, systems, methods and procedures for the effective management and control of re-billing and follow up functions.
  • Excellent organizational skills.
  • Ability to develop practical and innovation solutions to a wide range of problems.
  • Thoughtful problem solver who consistently treats others with dignity and respect.
  • Works independently
  • Ability to work 40 hrs a week within standard business hours (8am-5pm)Youll berewarded and recognized for your performance in an environment that willchallenge you and give you clear direction on what it takes to succeed in yourrole as well as provide development for other roles you may be interested in.RequiredQualifications:
    • High School Diploma / GED (or higher)
    • 1+ years of experience in medical and / or acute health insurance billing and collections in a hospital or revenue cycle environment (excludes physician billing)
    • 1+ years of previous experience working in a metric driven environment with department goals / quotas to meet on a daily / weekly / monthly basis
    • 1+ years experience and knowledge working within HIPAA guidelines and compliance billing and collection requirements
    • 1+ years of Experience in Medicare and government billing and systems, specifically using DDE, MRT, and Noridian
    • Data Entry experience, including but not limited to areas such as inventory, claims, billing, internal systems, etc.
    • Proficient with Microsoft Excel (general spreadsheet navigation) and Microsoft Outlook (email and calendar)
    • Ability to participate with overtime projects as neededPreferredQualifications:
      • Knowledge of Acute Care billing and collections systems ie: MS4, Invision, Meditech, workflow management tools, Sorian, Claims Administration technologies
      • Experience with claims processing for multiple payersSoft Skills:
        • Ability to multi - task and to understand multiple products and multiple levels of benefits within each product
        • Adaptable and flexible within a work environment
        • Interpersonal communication skills - written and verbal communication with colleagues as well as business partners
        • Ability to prioritize tasks with easeCareers withOptumInsight. Information and technology have amazing power to transform theHealthcare 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'refreeing 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 tohelp our clients improve the quality of care and lower costs for millions. Thisis where the best and the brightest work together to make positive change areality. This is the place to do your lifes best work.SMDiversitycreates a healthier atmosphere: UnitedHealth Group is an Equal EmploymentOpportunity / Affirmative Action employer and all qualified applicants willreceive consideration for employment without regard to race, color, religion,sex, age, national origin, protected veteran status, disability status, sexualorientation, gender identity or expression, marital status, geneticinformation, or any other characteristic protected by law.UnitedHealthGroup is a drug - free workplace. Candidates are required to pass a drugtest before beginning employment.Keywords: billing, acute care, medicare, government billing, medical, healthcare, revenuecycle management, hospital billing, phone support, data entry

Keywords: UnitedHealth Group, Irving , Acute Care Billing Representative - Rancho Cordova, CA or Irving, TX, Accounting, Auditing , Irving, Texas

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