Billing Representative

Posted Yesterday
Be an Early Applicant
Greensburg, PA, USA
In-Office
18-32 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Processes primary and secondary medical claims, resolves billing edits and discrepancies, corrects claims for various insurers, interprets EOBs, follows up on denials, and ensures claim accuracy and policy compliance. The role also supports billing procedure improvements, communicates with internal and external stakeholders, and collaborates on process enhancements. Full-time remote employees must work an eight-hour shift during Eastern Time business hours and complete virtual training.
Summary Generated by Built In
Requisition Number: 2379881
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
As a Billing Representative, you'll be responsible for medical hospital billing. Positions in this position ensure claim accuracy and work through specific billing discrepancies. Provide input to polices, system, methods and procedures for the effective management and control of billing functions.
This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime.
The Billing Representative will be required to successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role. We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule. Training will be conducted virtually from your home.
Primary Responsibilities:
  • Submit primary and secondary claims
  • Resolve billing edits
  • Provide input to polices, systems, methods, and procedures for billing functions.
  • Ensure claim is accurate for processing
  • Demonstrate and maintain understanding of and comply with billing policies and procedures
  • Make and/or submit changes to claims when applicable
  • Ability to correct bill various insurances
  • Ability to accurately read and interpret EOBS
  • Follow up with insurance companies on denials
  • Possess strong analytical and research skills
  • Communicates with superiors, peers, employees, internal and external customers, and others, as appropriate, on a regular basis, assuring proper flow of information.
  • Collaborate with team members to ensure continuous improvement in processes.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • High School Diploma / GED OR equivalent work experience
  • Must be 18 years of age OR older
  • 1+ years of medical billing experience
  • Ability using computer and Windows PC applications, which includes strong keyboard and navigation skills and ability to learn new computer programs
  • Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
  • Ability to work an 8-hour shift during our normal business hours of (7:00am - 5:00pm) EST

Preferred Qualifications:
  • 1+ year of experience in patient, client, or third-party insurance billing
  • 1+ year of hospital collections or billing experience

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.

Soft Skills:
  • Previous work experience in a fast-paced environment requiring strong multi-tasking and problem-solving skills
  • Strong organizational and communication skills
  • Ability to adapt to changes.

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is 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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RED

Skills Required

  • High School Diploma, GED, or equivalent work experience
  • At least 18 years of age
  • At least 1 year of medical billing experience
  • Ability to use computers and Windows PC applications, with strong keyboard and navigation skills
  • Experience with Microsoft Word, including creating correspondence and working within templates
  • Experience with Microsoft Excel, including data entry, sorting, filtering, and working within tables
  • Experience with Microsoft Outlook for email and calendar management
  • Ability to work an eight-hour shift during normal business hours from 7:00 AM to 5:00 PM EST
  • At least 1 year of patient, client, or third-party insurance billing experience
  • At least 1 year of hospital collections or billing experience
  • Ability to secure company-sensitive documents and maintain a dedicated private work area for remote work
  • Access to UnitedHealth Group-approved high-speed internet service
  • Strong multitasking, problem-solving, organizational, communication, and adaptability skills
  • Successful completion of UnitedHealth Group new-hire training and demonstrated proficiency
  • Ability to pass a drug test before employment

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Healthcare Strength Official materials highlight copay and HSA medical plan choices with in‑network preventive care at 100%, prescription coverage, and low/no‑cost virtual visits, plus company HSA contributions. Dental preventive services are 100% in network, and mental health resources include an EAP and premium Calm access.
  • Parental & Family Support Programs include six weeks paid parental leave, up to two weeks paid caregiver leave, and Bright Horizons back‑up care with enhanced family supports. Adoption assistance up to $10,000 for full‑time employees reinforces family‑oriented benefits.
  • Equity Value & Accessibility Financial benefits include an Employee Stock Purchase Plan at a 10% discount, expanding access to equity ownership.

Optum Insights

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
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