Join Optum, a Global Leader in Health Care Services, as a Hospital Medicare Biller
At Optum, we're driven by a mission to help people live healthier lives and make the health system work better for everyone. As a global organization, we deliver care aided by technology, connecting millions of people with the resources they need to feel their best. We're committed to advancing health equity on a global scale and fostering a culture guided by diversity and inclusion. If you're passionate about making a difference in the healthcare industry, we invite you to explore this exciting opportunity as a Hospital Medicare Biller.
About the Role
This is a fully remote position, offering the flexibility to work from anywhere within the U.S. You'll be part of a talented team dedicated to improving health outcomes and driving success in the healthcare industry. As a Hospital Medicare Biller, you'll play a critical role in ensuring accurate and timely billing, following up on outstanding claims, and resolving complex issues with Medicare.
Primary Responsibilities
- Billing according to Medicare guidelines, ensuring compliance with regulatory requirements
- Follow up directly with Medicare regarding outstanding claims, resolving issues and negotiating payments
- Filing appeals directly with Medicare, advocating for the organization and ensuring fair reimbursement
- Perform research on various computer systems, documenting customer information and payment expectations
- Contact customers via mail, email, and phone to discuss and resolve outstanding medical bill accounts and balances
- Obtain agreement on potential balance payoff and/or payment terms within stated level of authority and guideline limits
- Prepare and submit reports to internal management on status of outstanding medical bills and proposed/planned payment settlement details
- Record correspondence information within relevant collection systems, maintaining accurate records and ensuring data integrity
- Demonstrate strong working knowledge of all areas related to the resolution of Medicare accounts and regulatory requirements
- Apply knowledge of Coordination of Benefits relative to primary versus secondary payers according to contractual and governmental guidelines
Required Qualifications
To succeed in this role, you'll need:
- A High School Diploma or GED
- At least 1 year of Hospital billing experience, with direct billing for the hospital/facility
- Experience billing Medicare directly for a hospital or facility
- Experience using a UB04 form to bill
- Excellent computer skills, including working knowledge of Microsoft Windows and navigation, mouse, and keyboarding skills
- Ability to work Monday - Friday, in any of our 8-hour shift schedules during normal business hours (6:00am - 6:00pm PST)
- Must be 18 years of age or older
Preferred Qualifications
While not required, the following qualifications can give you a competitive edge:
- Experience with Medicare claim follow-up
- Working knowledge of EPIC
Telecommuting Requirements
As a remote worker, you'll need to:
- Keep all company-sensitive documents secure
- Establish a dedicated work area that's separate from other living areas and provides information privacy
- Have a location that can receive a UnitedHealth Group-approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills
To excel in this role, you'll need:
- The ability to work tactfully and professionally with patients, family members, hospital staff, medical staff, and outside payers
- Strong problem-solving, multitasking, and organizational skills, with the ability to prioritize multiple tasks
- Excellent verbal and written communication skills, with the ability to effectively interact with payers
- Adherence to UnitedHealth Group's Telecommuter Policy
What We Offer
At Optum, we offer a comprehensive benefits package, including:
- A competitive salary, with an hourly range of $16.54 to $32.55 per hour (for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C., and Maryland Residents)
- Incentive and recognition programs to reward your performance and contributions
- Equity stock purchase and 401k contribution opportunities to help you build a secure financial future
- 4 weeks of on-the-job training to ensure your success in the role
- A culture guided by diversity and inclusion, with opportunities for career growth and development
Why Join Us?
At Optum, we're committed to making a difference in the healthcare industry. By joining our team, you'll have the opportunity to:
- Advance health equity on a global scale
- Work with a talented team dedicated to improving health outcomes
- Develop your skills and expertise in a dynamic and supportive environment
- Enjoy a flexible and remote work arrangement, with the freedom to work from anywhere within the U.S.
Our Commitment to Diversity and Inclusion
At UnitedHealth Group, we're committed to fostering a culture guided by diversity and inclusion. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or identity. As an Equal Employment Opportunity/Affirmative Action employer, we're dedicated to ensuring that all qualified applicants 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.
Are You the One We're Looking For?
If you believe you have the skills, experience, and passion to excel as a Hospital Medicare Biller, we encourage you to apply. We're committed to finding the best talent to join our team and drive success in the healthcare industry. Don't miss this opportunity to join Optum and make a difference in the lives of millions.
Apply now and take the first step towards a rewarding career with Optum!
Apply Now