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Billing Representative - Boston, MA
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Boston, MA Boston, Massachusetts |
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.
Positions
in this function 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. Note: Positions
mainly responsible for more general A/R activities which do not include
medical and ancillary premium billing activities can be found in the
Accounts Receivable function in the Finance job family.
Primary Responsibilities:
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.
Positions
in this function 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. Note: Positions
mainly responsible for more general A/R activities which do not include
medical and ancillary premium billing activities can be found in the
Accounts Receivable function in the Finance job family.
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
- CHARGE ENTRY REPRESENTATIVE
- Enter patient demographics and insurance information
- Enter patient charges into Optum PM/CareTracker
- 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 co-pays
- Enter unapplied payments in Optum PM/CareTracker.
- Other duties as assigned
- This function is responsible for medical and ancillary product premium billing.
- Moderate work experience within own function.
- Some work is completed without established procedures.
- Basic tasks are completed without review by others.
- Supervision/guidance is required for higher level task
work location: 88 East Concord Boston, MA 02118
Requirements
Requirements:
- High School Diploma or GED
- 1+ years experience performing billing and/or follow-up functions within a multi-provider 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 all billing requirements related to 1500 provider claims
- Demonstrated success working in a team environment focused on meeting organization goals and objectives
- Must be able to attend training daily (2 weeks) and quarterly meetings in Providence, RI office (reimbursement for mileage will be available)
Assets:
- Demonstrated working knowledge of current patient accounting and claims editing applications in a tertiary environment preferred
- Some college coursework in business administration or accounting preferred
- 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
care 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 health care
organizations continue to adapt, and we are a vital part of their
evolution. And that's what fueled these exciting new opportunities.
Optum360
is 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 all our resources 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 and your desire to drive change, this is the place to be.
It's an opportunity 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.