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Billing Specialist - Duluth, GA
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Duluth, GA Duluth, Georgia |
About this job
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.(sm)
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Primary Responsibilities:
Research client appeals, working from oldest receipt date to the most recent receipt date
Work with Pharmacy Services and Client Services, as needed to resolve client disputes
Determine action that needs to be taken on disputes and issue the appropriate resolution
Follow up on issues submitted from other departments
Investigate pharmacy reimbursement issues
Assist in system supporting special pricing for both pharmacies and clients
Conduct pharmacy calls for new client implementations
Complete special projects as assigned by management
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Primary Responsibilities:
Research client appeals, working from oldest receipt date to the most recent receipt date
Work with Pharmacy Services and Client Services, as needed to resolve client disputes
Determine action that needs to be taken on disputes and issue the appropriate resolution
Follow up on issues submitted from other departments
Investigate pharmacy reimbursement issues
Assist in system supporting special pricing for both pharmacies and clients
Conduct pharmacy calls for new client implementations
Complete special projects as assigned by management
Requirements
Required Qualifications:
High school diploma or equivalent required
Ability to assist pharmacies and hospice customers and guide them through the dispute process
A strong sense of problem solving and communication skills
Ability to navigate and generate reports
A firm understanding of claims processing systems, Mircrosoft Office suite (Excel, Word, Outlok, and Access)
Asset:
Associates or Bachelor's Degree in a related field is a plus
Careers with OptumRx. We’re one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You’ll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There’s no better place to help people live healthier lives while doing your life’s best work.(sm)
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.
High school diploma or equivalent required
Ability to assist pharmacies and hospice customers and guide them through the dispute process
A strong sense of problem solving and communication skills
Ability to navigate and generate reports
A firm understanding of claims processing systems, Mircrosoft Office suite (Excel, Word, Outlok, and Access)
Asset:
Associates or Bachelor's Degree in a related field is a plus
Careers with OptumRx. We’re one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You’ll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There’s no better place to help people live healthier lives while doing your life’s best work.(sm)
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.