[Hiring] Insurance Follow Up Representative @UnitedHealth Group

Role Description

This position is Remote in Pacific Time Zone or Mountain Time Zone. You will have the flexibility to work remotely as you take on some tough challenges.

The Business Services department is seeking an Insurance Follow Up Representative to join their team full-time. The Insurance Follow Up Representative serves the patients, clinicians, and staff of Optum by obtaining payment on outstanding receivables timely. Focus is upon resolving any issues that may be causing delay of payment, including:

• Contacting payers and using appropriate websites to determine claim status.
• Investigation and resolution of denied claims.
• Identification of trends and payer behavior contributing to inaccurate or delayed reimbursement.

Primary responsibilities include:

• Contacting insurance carriers/patients regarding outstanding insurance claims.
• Knowledge of clinic operating policies to help in the identification of denial root causes.
• Preparing proper documentation for appeals to insurance carriers.
• Processing the appealing of claims reimbursed incorrectly by payors.
• Ensuring all accounts are set up correctly in the computer.
• Maintaining over 90 aging quality measures as determined by payer baselines and expectations.

This position is full time, Monday - Friday. Employees are required to have flexibility to work during our normal business hours of 7:00am - 3:30pm PST.

Qualifications

• High School Diploma / GED OR equivalent experience.
• Must be 18 years of age OR older.
• 1+ years of experience in Insurance follow up (Denial follow up, appeals reconsiderations).
• 1+ years working knowledge of EOB, COB, Remits, and CMS 1500.
• Experience in appeals writing and processing.
• Working knowledge of CPT & Diagnosis Coding, Medical Terminology, and basic Anatomy.
• Knowledge of medical insurance (plans, processes, requirements).
• Experience with computers and Windows PC applications.
• Ability to work full time, Monday - Friday.

Requirements

• Multi-specialty clinic experience (preferred).
• Epic experience (preferred).
• Experience working with Medicare and Medicare Advantage (preferred).
• CPC Certification (preferred).

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).
• Salary range from $16 - $29 hourly based on full-time employment.