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Associate Billing Representative – Cooperstown, NY

UnitedHealth Group

UnitedHealth Group, the parent organization of UnitedHealthcare and Optum, is one of the world’s leading diversified health care companies.

Combine two of the fastest – growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making Healthcare data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.SM

All of us have a short list of the things that make a job great. If your list includes being able to make a difference, count us in as your next place to work. UnitedHealth Group is a Fortune 10 company leader in health care at a time when health care is evolving for everyone. Our billing teams are part of an important chain of events that impact the lives of our members in positive ways. Join us and discover the exceptional training, support and opportunities to grow that you’d expect from a Fortune 10 company.

As an Associate Billing Representative, you will be under supervision of the Billing Supervisor of Physician Services. You will be responsible for follow up billing and denials of professional claims for one or more payors. Ascertains that all appropriate Physician charges are coded and billed correctly to obtain accurate reimbursement. The primary goal of this position is to ensure compliant and accurate claims are submitted. Must contain high quality of customer service, when calling health plans and patients. Work cooperatively within specified team functions to ensure this standard is met.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (7:00am – 5:00pm). The following shifts are available: 7a-3:30p,7a:30-4p, and 8a-4:30p all eastern standard time. It may be necessary, given the business need, to work occasional overtime.

Primary Responsibilities:

  • Provide follow-up on accounts within the time limits set by the Carrier to ensure timely and appropriate reimbursement as monitored by Management.
  • Responsible for posting correspondence and rejections from insurance carriers and distribution of vouchers to appropriate staff each day as received.
  • Identify payer, contract or system issues and advise Supervisor – Physician Services to make necessary corrections.
  • Contact patients, employers or insurance companies to obtain required data for claims follow-up and overpayments. Answer all inquiries regarding accounts, patient inquiries within 48 hours of receipt, monitored by feedback from Customer Service, patients and phone log documentation.
  • Provide back up support in the absence/vacancies of team members and/or other billing personnel 100% of the time as observed by Management.
  • Responds appropriately to Customer Service requests within 48 hours of receipt as monitored by feedback from our Customer Service unit and phone log.
  • Work dedicated EPIC WQ’s timely as monitored by management.
  • Reviews payment vouchers to ensure proper reimbursement is being received in accordance with our contracts, as observed by management.
  • Consistently ensures information known about the Customer is kept private and confidential as observed by Management and feedback from other staff and/or patients.
  • Complies with all privacy (HIPAA) regulations and adheres to Bassett’s confidentiality policies. Success is monitored by Management through feedback from co-workers and/or patients.
  • Verifies insurance coverage, corrects and updates the patient records within 48 hours of receipt and shares the information with our Hospital Billing Staff as observed by Management and feedback from co-workers
  • Performs other duties as requested and observed by supervisor or manager.

What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. You’ll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.

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) OR equivalent years of work experience
  • Available to work 40 hours per week within the operating hours of the site
  • Strong computer skills, including working knowledge of MS Windows and navigation, mouse and keyboarding skills
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.

Preferred Qualification

  • 1+ year of experience in insurance claim or office experience
  • Dental billing experience and/or coding experience

Soft Skills

  • Familiar with office/billing operations.
  • Good data entry/typing, analytical, organizational and telephone skills.
  • Effective communication skills, maintaining high quality customer service
  • Must be flexible to changing work environment and able to process high volumes of claims/paperwork.

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet

Careers 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.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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: Healthcare, health care, Managed Care, Billing Representative, Billing, Collections, Claims, Customer Service, Medical Billing, #rpo, hiring immediately

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Associate Billing Representative – Cooperstown, NY

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UnitedHealth Group

UnitedHealth Group, the parent organization of UnitedHealthcare and Optum, is one of the world’s leading diversified health care companies.

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