Responsible for Insurance claims billing and account follow-up activities. Resolving denied hospital claims and all outstanding AR balances. In addition there is a responsibility of comparing insurance contracts to actual reimbursements to ensure proper claim payment. UB exp required, 1500 exp a plus. Medicare exp a plus. As a lead , will also be responsible for monitoring the staff for production and quality, completing weekly reviews and other required reports.This function is responsible for insurance premium collections. Positions in this function contact customers to determine reason for payment delinquency. Negotiate and advise on collection of overdue bills and take appropriate action to recover overdue payments. Handles unresolved inquiries/issues. Responsible for developing, implementing, maintaining and managing organization policies on collection practices. May work with outside legal counsel and/or outside agencies in more complex collection cases.
Extensive work experience within own function.
Work is frequently completed without established procedures.
May act as a resource for others.
May coordinate other's activities.
High School Diploma/GED is required
3+ years of cash posting OR collections experience within a healthcare environment; i.e. read an EOB accurately, knowledge of doing appeals, review contract to ensure proper reimbursement, familiarity with all lines of business, etc.
1+ year of utilizing medical terminology; i.e. familiarity with ICD-9 and CPT codes
Beginner level of proficiency with MS Excel; i.e. creating macros, pivot tables, v-lookups, h-lookups, etc.
Some college is preferred
Supervisory experience is preferred
Knowledge of Meditec is strongly preferred
OptumInsight is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.OptumInsight is one of the largest and fastest growing health information companies. We specialize in improving the performance of the health system by providing analytics, technology and consulting services that enable better decisions and results. We integrate workflow solutions that deliver data in real-time, and create actionable insights - processing health information that relates directly to and affects one in four patients in the U.S, one in every three Medicaid dollars and one in every five emergency room visits. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.What can you do with the right information? At OptumInsight, the possibilities and the impact are limitless. No matter what your role is at OptumInsight, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting. And it's never been more important.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
UnitedHealth Group - 18 months ago
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