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Billing Service Specialist

UnitedHealth Group

UnitedHealth Group

Billing Service Specialist

West Hills, CA
Full Time
Paid
  • Responsibilities

    POSITION DESCRIPTION

    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

    PRIMARY RESPONSIBILITIES:

    Improve billing data quality through the education and account management of customers, with efforts and emphasis to reduce missing information, bad debt, non - supported diagnosis / non - covered test write - offs, and third - party denials

    Conduct Client visits. Account visits will be prioritized based on evaluation of trends that show education needs in:

    • Medicare Limited Coverage Policy / ABN
    • Medicaid requirements / policies
    • Regional specific third - party requirements / policies
    • Ordering provider registration (PECOS)
    • Missing demographic / insurance information for ordering physician and patient
    • Support Commercial Sales team with client training and education as required for large new customers and / or new billing initiatives
    • Act as liaison for customer billing problems as necessary and communicate those to the appropriate person or department for resolution
    • Drive improvement to defined goals
    • Document all significant client interaction in CRM application (Salesforce.com)
    • Other duties as assigned including special projects, etc.

    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.

    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.

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  • Qualifications

    REQUIRED QUALIFICATIONS:

    • High School Diploma / GED (or higher)
    • 3+ years of experience in one or more of the following areas: client facing customer service role analyzing and solving customer problems, or healthcare customer service role analyzing and solving customer problems
    • 2+ years experience in healthcare billing
    • Knowledge of Medicare / Medicaid coverage policies
    • Experience working with data - pulling and analyzing information to understand root cause / trends / opportunities
    • Ability to create, copy, edit, save and send documents, presentations, and spreadsheets, calendar and email utilizing Microsoft Word, Microsoft PowerPoint, Microsoft Excel, and Microsoft Outlook
    • Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
    • Live within a commutable distance of the West Hills Office - 8403 Fallbrook Avenue, West Hills, CA 91304
    • Ability to travel up to 50% - Travel will be local as well as overnight
    • Ability to work 8 hour shift Monday - Friday between hours of 8:00am - 6:00pm

    PREFERRED QUALIFICATIONS:

    • Bachelor's Degree (or higher)
    • 3+ years of experience with face to face customer relationship management

    SOFT SKILLS:

    • Strong written / verbal communication skills
    • Strong organization / time management skills
    • Strong problem - solving skills
    • Ability to develop and sustain good customer relationships
    • Trustworthy
    • Be able to manage yourself and be able to prioritize work
    • Strong customer service skills
    • Able to problem solve
    • Experience working independently and as part of a team
    • Strong analytical and negotiation skills
    • Experience with presenting and training individuals and groups
  • Industry
    Hospital and Health Care
  • Fun Fact
    UnitedHealth Group is working to create the health care system of tomorrow.
  • About Us

    A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.