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Associate Billing Representative - Rancho Cordova, CA
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | RANCHO CORDOVA, CA RANCHO CORDOVA, California |
About this job
Position Description:
Welcome
to one of the toughest and most fulfilling ways to help people,
including yourself. We offer the latest tools, most intensive training
program in the industry and nearly limitless opportunities for
advancement. Join us and start doing your life's best work.
Healthcare
isn't just changing. It's growing more complex every day. ICD10
replaces ICD9. 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 health care 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.
Welcome
to one of the toughest and most fulfilling ways to help people,
including yourself. We offer the latest tools, most intensive training
program in the industry and nearly limitless opportunities for
advancement. Join us and start doing your life's best work.
Primary Responsibilities:
- Performs billing functions relevant to
the Patient Financial Services area in a manner that meets or exceeds
key performance criteria. - Maintains thorough and detailed
knowledge of insurance and self- pay billing and follow up guidelines
and regulations for third-party payers. Exhibits an understanding of
state and federal billing and follow up regulations as it relates to
Medicare, Medicaid, and Managed Care and Commercial Insurance companies. - Demonstrates knowledge of standard bill
forms and filing requirements. Exhibits an understanding of electronic
claims editing and submission capabilities including Medicare and NEIC
on-line claims processing and query system. - Exhibits an understanding of CPT, HCPCS and ICD-9 coding regulations and guidelines.
- Ability to recognize and identify payer trends and communicate effectively to PFS Leadership Team.
- Functions as a subject matter expert in
assisting Customer Service and Collection Team Members as well as other
payer team members. - Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
- Continually seeks to understand and act
upon customer needs, concerns, and priorities. Meets customer
expectations and requirements, and gains customer trust and respect. - Demonstrates ongoing enthusiasm and commitment to the work assigned.
- Works with Supervisor to receive feedback on performance and create a personal development plan.
Requirements
Requirements:
Physical Requirements and Work Environment:
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: 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.
- High School Diploma or GED
- 1+ years experience performing billing and/ or follow-up functions within a multi-facility hospital environment
- 1+ years experience and excellent
working knowledge of third-party billing regulations and requirements
including claims editing and submission processes - 1+ years experience working with inpatient and outpatient billing requirements of UB-04 and 1500
- Demonstrated success working in a team environment focused on meeting organization goals and objectives
Assets:
- Demonstrated working knowledge of
current patient accounting and claims editing applications in a tertiary
hospital environment preferred - Some college coursework in business administration or accounting preferred
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 activity
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: 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.