Hospital Bill Audit Support Claim Associate

Requisition Number: 2347104
If you are located within Mainland USA, you will have the flexibility to work remotely* 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 the 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.
The HBA Audit Support Associate position is a member of the Post-Pay Support group within the Hospital Bill Audit (HBA) team and supports our auditors and audit process. The primary responsibility of the role is to manage the exchange of all documents to and from our clients and providers, make outbound calls for audit documents, request audit fee checks, and any other support activities needed for the audit process.
This position is 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 8:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer on the job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.
Primary Responsibilities:

• Send and receive audit documents (e.g., letters of intent, medical records, audit findings, and appeals) to and from providers via email, fax, or mail
• Review received audit documents to ensure completeness of the documents and request additional documents where documents received are incomplete or illegible
• Download and save received audit documents to Optum's imaging system
• Make daily outbound calls to providers for audit documents not received
• Create and send collection letters
• Request audit fees from Account Payable when necessary
• Respond to inquiries from auditors, operations team and other teams as needed
• Update Optum system with any notes and required action codes
• Other duties 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 Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of experience in medical claim and/or healthcare industry experience
• Understanding of relevant privacy regulations (e.g., HIPAA)
• Proficient computer skills including Microsoft Office suite; Microsoft Word (ability to create, copy, edit, save, and send documents), Microsoft Excel (ability to create, copy, edit, save, and send spreadsheets) and Microsoft Outlook (email and calendar management)
• Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm CST, Monday - Friday local time. It may be necessary, given the business need, to work occasional overtime.

Telecommuting Requirements:

• Reside within Mainland USA
• 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:

• Requires attention to detail, organizational, problem solving and time management skills with flexibility to adjust to changing priorities
• Effective oral and written communication skills
• Ability to develop effective relationships with our internal and external customers
• Must be self-directed and be able to accomplish work with limited supervision and general work direction
• Confidence in ability to make decisions and support those decisions; work with senior team members on more complex inquiries.

*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 $16.15 - $28.80 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.