Detail of : Internal Billing Service Representative - Marlborough, MA Remote Job Openings in Marlborough
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you getleading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work. As an Internal Billing Representative , this position will be a remote opportunity responsible for interacting with Optum360 /Quest Diagnostics internal teams regularly and at times, representing Optum360 /Quest Diagnostics to our clients in a professional manner. This role will streamline, improve and enhance the billing experience for both internal and external customers through education while reducing revenue loss, denials and bad debt for Optum360 and Quest Diagnostics. Training will be conducted virtually from your home. What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/ Primary Responsibilities:
Review and respond to elevated billing issues arriving by email, phone and Salesforce with the focus to reduce missing information, bad debt, non-supported diagnosis/non-covered test write-offs, and third party denials.
Provide insight and education focused around:
Medicare Limited Coverage Policy/ABN
Regional specific third party requirements/policies
Ordering provider registration (PECOS)
Missing demographic/insurance information for ordering physician and patient
Support Commercial Sales team by explaining/educating on billing processes.
Act as liaison for customer billing problems as necessary and communicate those to the appropriate person or department for resolution.
Drive improvement to defined goals.
Document all significant client interaction in CRM application (Salesforce.com).
Other duties as assigned including special projects, etc.
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
1+ years of experience with healthcare medical billing/claims experience
Experience working with Microsoft Office Suite
Microsoft Word (create/edit/save/send documents)
Microsoft Excel (create/edit/save/send spreadsheets)
Microsoft Outlook (create/edit/save/send emails)
Cell phone and internet connectivity available for work use
You will be required to adhere to 's US Telecommuting Policy
If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar -approved symptom screener. When in a building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Preferred Qualifications: College degree or equivalent experience
Experience working with datapulling and analyzing information to understand root cause/trends/opportunities
Knowledge of Medicare/Medicaid coverage policies
Highly preferred residential locations for this position: Massachusetts, Rhode Island, Pennsylvania, or New Hampshire
Strong Written/Verbal Communication skills
Strong organization/time management skills
Strong problem solving skills
Ability to develop and sustain good customer relationships
Experience working independently and as part of a team
is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non-clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. Some of the steps we've taken to ensure employee well-being include:
Transitioned our new hire training classes to be conducted virtually
Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our team members and their immediate family affected by COVID-19
Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
Fully cover the COVID-19 healthcare costs for our employees
Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home
You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html Healthcare isn't just changing. It's growing more complex every day: ICD-10 Coding replaces ICD-9; Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. Who are we? Optum360 . We're a dynamic new partnership formed by Dignity Health a nd Optum to combine our unique expertise. As part of the growing family of , we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide.
If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work. Diversity creates a healthier atmosphere: is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. is a drug-free workplace. Candidates are required to pass a
Should you are interested and qualified, please apply in confidence by filling online application form at :
Only qualified candidates that meet with the above requirements would be processed in this recruitment.
Only candidates that meet the above qualification will be shortlisted.
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