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in Providence, RI

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Hours Full-time, Part-time
Location Providence, RI
Providence, Rhode Island

About this job


Position Description:
Healthcare isn’t just changing. It’s 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’s what fueled these exciting new opportunities. 
 Who are we? Optum360. We’re a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll 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. If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It’s an opportunity to do your life’s best work.Primary Responsibilities:

Interact with customers gathering support data to ensure invoice accuracy and also work through specific billing discrepancies
Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing function
Educate customers regarding the availability of receiving invoices and remitting payments through online applications
Monitor outstanding balances and take appropriate actions to ensure clients pay as billed
Manage the preparation of invoices and complete reconciliation of billing with accounts receivables
May also include quality assurance and audit of billing activities
Enter patient demographics and insurance information
Enter patient charges into Practice Management system
Work System, Payer and Claims Manager edits for all charges
Send, answer and process To-Dos as required
Review Electronic Billing Reports for rejected claims, and correct as needed.
Generate billing files
Review unprinted paper claim batches
Review Open Electronic Claim batches
Enter patient co-pays and deductibles
Enter unapplied payments in Practice Management system.
Other duties as assigned

Requirements

Required Qualifications:

High School Diploma or GED
Ability to create and edit professional documents in Microsoft Word
Ability to input data and review spreadsheets in Microsoft Excel
Ability to review and create professional emails in Microsoft Outlook
Basic understanding of Medical insurance (i.e. Medicare, Medicaid, Commercial Payer, etc.)
Hours of operation are Monday – Friday; 8:00am – 4:30pm with some flexibility
Ability to work overtime as business needs arise Preferred Qualifications:

Medical Billing experience
Previous experience working in an Accounts Receivable Department Physical Requirements and Work Environment:

Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activityCareers 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 life’s best work.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.Keywords: Providence, RI billing, claims, medical claims, healthcare claims, office, UnitedHealth Group, Optum, training class, customer service representative, customer service, CSR, Data Entry, adjustments, phone support