Position Description:
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. 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.
Primary Responsibilities:
Extensive work experience within own function
Work is frequently completed without established procedures
Works independently
May act as a resource for others
May coordinate other's activities
Qualifications:
Requirements:High School diploma or GED requiredAbility to work either M-F 9:00am â 5:30pm or 10:00am â 6:30pm based on business needs3+ years of UB04 and CMS1500 claims forms required3+ years of medical billing and collection experience requiredBasic MS Excel required1+ year of SME or Team Lead experience in a healthcare insurance environment requiredAssets:Medicare and Medicaid billing experience helpfulPrevious Supervisory experience a plusOptumInsight 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.
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