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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 and Optum to combine our unique expertise. As part of the
growing family of UnitedHealth Group , 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.SMThis function is responsible for
billing, re-bills and follow up based on policies, systems, methods, and
procedures for the effective management and control of Regulatory Operations
functions. Monitor accounts that have been corrected for re-bill and take
appropriate actions to ensure the accounts are follow up correctly and in a
timely manner.Primary Responsibilities:
Strong analytical skills with experience in pulling and analyzing data from hospital re-billing and related hospital information systems.
To ensure accounts are followed up correctly and timely until resolution.
Applies comprehensive knowledge and understanding of basic compliance concepts, principals and technical capabilities to performed varied tasks and projects.
Strong written and verbal communication skills.
Review and ensure all bills are correct or have been properly corrected prior re-billing.
Review and accurately maintain the re-bills tracking log.
Provide input to policies, systems, methods and procedures for the effective management and control of re-billing and follow up functions.
Excellent organizational skills.
Ability to develop practical and innovation solutions to a wide range of problems.
Thoughtful problem solver who consistently treats others with dignity and respect.
Works independently
Ability to work 40 hrs a week within standard business hours (8am-5pm)
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.RequiredQualifications:
High School Diploma / GED (or higher)
1+ year of experience in medical and / or acute health insurance billing and collections in a hospital or revenue cycle environment (excludes physician billing)
1+year of previous experience working in a metric driven environment with department goals / quotas to meet on a daily / weekly / monthly basis
1 + year experience and knowledge working within HIPAA guidelines and compliance billing and collection requirements
1+ years of Experience in Medicare and government billing and systems, specifically using DDE, MRT, and Noridian
Data Entry experience, including but not limited to areas such as inventory, claims, billing, internal systems, etc.
Proficient with Microsoft Excel (general spreadsheet navigation) and Microsoft Outlook (email and calendar)
Ability to participate with overtime projects as needed
PreferredQualifications:
Knowledge of Acute Care billing and collections systems ie: MS4, Invision, Meditech, workflow management tools, Sorian, Claims Administration technologies
Experience with claims processing for multiple payers
Soft Skills:
Ability to multi - task and to understand multiple products and multiple levels of benefits within each product
Adaptable and flexible within a work environment
Interpersonal communication skills - written and verbal communication with colleagues as well as business partners
Ability to prioritize tasks with ease
Careers withOptumInsight. Information and technology have amazing power to transform the
Healthcare industry and improve people's lives. This is where it's happening.
This is where you'll help solve the problems that have never been solved. We're
freeing information so it can be used safely and securely wherever it's needed.
We're creating the very best ideas that can most easily be put into action to
help our clients improve the quality of care and lower costs for millions. This
is where the best and the brightest work together to make positive change a
reality. This is the place to do your life’s best work.SM
Diversity
creates a healthier atmosphere: UnitedHealth Group 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.UnitedHealthGroup is a drug - free workplace. Candidates are required to pass a drug
test before beginning employment.Keywords:
billing, acute care, medicare, government billing, medical, healthcare, revenue
cycle management, hospital billing, phone support, data entry
