Insurance Follow-Up Representative - National Remote
Company: UnitedHealth Group
Location: Peoria
Posted on: May 24, 2023
Job Description:
You'll enjoy the flexibility to telecommute* from anywhere
within the U.S. as you take on some tough challenges.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.The Insurance
Follow-Up Representative is responsible for optimizing facility
reimbursement by providing financial, administrative, and clerical
support related to claims. Responsible for researching claims with
no response from the Payer, denials, resolving claims issues and
other discrepancies according to established policies and
procedures in an efficient, timely and accurate manner. This
position is highly focused on the resolution of insurance
processing errors and / or denials.This position is full - time.
Employees are required to work any scheduled shift between the
hours of 6:00 AM - 6:00 PM CST (Central Standard Time).--Training
will be conducted virtually from your home.*All Telecommuters will
be required to adhere to UnitedHealth Group's Telecommuter
Policy.Primary Responsibilities:
- Outstanding Insurance claims resolution 65%
- Review, analyze and resolve outstanding and / or denied claims
that have been submitted to the payor for reimbursement
- Identify, document, and communicate root cause of trends in
recurring denials as well as recommend solutions and/or process
improvements to prevent future denials
- Contact payors regarding billing discrepancies, payment
inconsistencies and / or other claim related issues
- Research delinquent accounts to successful claim
resolution
- Document Management 25%
- Works incoming correspondence, including Payor letters, denials
and additional information requests necessary to process
claims
- Submits necessary Payor reconsiderations and / or appeals to
overturn denials
- Interprets explanation of benefits for appropriate follow up
action
- Other duties as assigned 10%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 (or higher)
- 1+ years of related Insurance Follow-up experience
- Knowledge of payer policies and procedures
- Ability to adhere to all HIPAA guidelines and regulation
including confidentiality
- --Experience with using Microsoft Office applications,
including Microsoft Word and Microsoft Excel
- Ability to work any scheduled shift between the hours of 6:00
AM - 6:00 PM CST (Central Standard Time)Telecommuting
Requirements:
- Required to have a dedicated work area established that is
separated from other living areas and provides information
privacy
- Ability to keep all company sensitive documents secure (if
applicable)
- 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:
- Strong computer skills
- Effective in identifying and analyzing problems
- Prioritizes workloadCareers with OptumInsight. 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.SMCalifornia, Colorado, Connecticut, Nevada, Washington, New
York, or Rhode Island Residents Only: The salary range for
California / Colorado / Connecticut / Nevada / Washington / New
York / Rhode Island residents is $16.00 - $27.31. Pay is based on
several factors including but not limited to education, work
experience, certifications, etc. 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.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.--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.UnitedHealth Group is
a drug - free workplace. Candidates are required to pass a drug
test before beginning employment.#RPO #YELLOW
Keywords: UnitedHealth Group, Peoria , Insurance Follow-Up Representative - National Remote, Other , Peoria, Arizona
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