Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm CST (will be assigned to an 8-hour shift based on business needs). It may be necessary, given the business need, to work occasional overtime.

We offer paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Reviews open delivery tickets and prioritize billing activities.
• Creates invoices that are accurately generated and submitted on a timely basis.
• Identifies any trends or billing inaccuracies with investigation and resolution, escalating to Supervisor / Manager when assistance is needed.
• Completes account reviews / correction requests submitted by other departments within established turnaround times.
• Adheres to Regulatory / Payor Guidelines and policies & procedures.
• Provides exceptional customer service to internal and external customers.
• Other duties as assigned.

This Billing Representative will work with PBM billing. Responsibilities include daily billing/creating invoices as well as being responsible for special projects as assigned.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualification:

• High School Diploma/ GED OR equivalent work experience
• Must be 18 years of age OR older
• Minimum 2 years of experience working with pharmacy billing OR pharmacy collections
• Ability to read and interpret billing guidelines
• Basic level skill in Microsoft Excel (opening a workbook, inserting a row, selecting font style and size)
• Basic level skill in Microsoft Word (opening a document, cutting, pasting and aligning text, selecting font type and size)
• Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm CST (will be assigned to an 8-hour shift based on business needs). It may be necessary, given the business need, to work occasional overtime

Preferred Qualification:

• Home Infusion knowledge
• Knowledge of NDC, ICD-10, and HIPAA
• CPR+ knowledge

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. OptumCare i s an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO

Job Tags

Hourly pay, Minimum wage, Full time, Work experience placement, Local area, Remote job, Shift work, Monday to Friday,

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