[Hiring] Billing Representative @UnitedHealth Group

Role Description

This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

The Billing Representative is responsible for reviewing, validating, and processing medical charge entries through Epic and other billing systems. This role supports revenue cycle operations by managing:

• Charge review work queues
• Claim edits
• Charge corrections
• Benefits and eligibility verification
• Document retrieval
• Follow-up activities to ensure accurate and timely billing

The Billing Representative works collaboratively with clinical and administrative teams to resolve billing issues and maintain compliance with payer requirements.

This position is full-time, Monday - Friday. Employees are required to work during our normal business hours of 7:30 am - 5:00 pm PST from Mondays - Thursdays and 7:30 am - 11:30 am PST on Fridays. It may be necessary, given the business need, to work occasional overtime.

This will be on-the-job training and the hours during the training will be aligned to your schedule.

Primary Responsibilities:

• Review and process charge sessions within Epic to ensure accurate and timely billing
• Review and resolve charge review, claim edit, charge router, and follow-up work queues
• Perform manual and electronic charge entry with a high degree of accuracy
• Verify patient insurance benefits, eligibility, and financial class (FSC) information
• Correct billing and registration errors impacting claim submission
• Retrieve and review supporting documentation to facilitate accurate charge capture and claim resolution
• Review anesthesia charges for completeness and verify benefits and eligibility prior to posting charges
• Identify and resolve charge-related claim edits and rejections
• Support billing workflows for Adult Medicine, Pediatrics, and Specialty practices
• Maintain compliance with payer, Medicare, Medicaid, and organizational billing guidelines
• Escalate complex billing and reimbursement issues to management as appropriate
• Recommend process improvements that enhance efficiency, accuracy, and revenue cycle performance
• Assist with other revenue cycle and accounts receivable 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.

Qualifications

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of medical billing, charge entry, or accounts receivable experience in a healthcare environment
• Working knowledge of medical terminology, insurance billing processes, and healthcare revenue cycle operations
• Experience with claims status review, charge entry and A/R follow-up
• Knowledge of ICD-10, CPT, and HCPCS coding, including appropriate use of modifiers
• Experience verifying patient insurance eligibility and benefits
• Proficiency with Microsoft Outlook, Microsoft Word, and Microsoft Excel
• Ability to work full-time, Monday - Friday. Employees are required to work during our normal business hours of 7:30 am - 5:00 pm PST from Mondays - Thursdays and 7:30 am - 11:30 am PST on Fridays. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications

• Experience using Epic Revenue Cycle applications
• Experience with other practice management/billing systems
• Medicare, Medicaid, and commercial payer billing experience
• Knowledge of claim edits

Telecommuting Requirements

• 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

• Strong attention to detail, organizational skills, and problem-solving abilities
• Ability to manage multiple priorities and meet established productivity standards

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

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.