Unitedhealth Group Inc. Overland Park , KS 66204
Energize your career with one of Healthcare's fastest growing companies.
You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
Review and post payments both automatically and manually from remittance advices provided by insurance companies
Research take backs to be posted and applied to other invoices. Locate remits that are not provided automatically by the payer.
Significant use of computer billing software, excel spreadsheets, data entry, and calculators. Interpret explanation of benefits received to implement changes to future invoices to facilitate prompt payment and reduce possible denials.
Work assigned AR (open invoices) using computers and a variety of automated systems to guarantee timely collections.
Record in patients' charts actions taken, documentation sent and other pertinent notes to the reconsideration process to decrease AR and increase cash collections.
Analyze explanation of benefits received, denial trends and confer with customers to determine reasons for denials to facilitate effective collections.
Record collections progress of assigned invoices on spreadsheets and within billing system as assigned by manager.
Verify accuracy of billing charges and reject any unprocessable invoices using knowledge of medical fee schedules, State specific requirements, payer instructions and compliance requirements.
Answer client account inquiries for billing and collections related questions.
Obtain additional documentation to attach to invoices to facilitate payment and reduce rejections.
Sort and file correspondence, and perform miscellaneous clerical duties such as answering correspondence and writing reports.
Record invoices to be credited on the specified spreadsheet for manager approval.
Follow up on reconsiderations as necessary after no response after 30 days to ensure timely collections.
Communicate with other departments to obtain additional information or for clarification of billing and collections and prepare billing invoices for submission (as needed).
As needed you will have other special projects or tasks as delegated by the Revenue Services Manager, Director of Revenue Services.
High School Diploma / GED (or higher)
1 years of medical collections experience
Ability to save and create documents within Microsoft Word
Ability to enter data and save spreadsheets with Microsoft Excel
Ability to use calendar and send emails within Microsoft Outlook
Willing to work any 8-hour shift between 7:00am and 6:00pm with ability to work overtime as needed
1 years of experience in Medical Billing
1 years of customer service experience analyzing and solving customer problems
Prior knowledge of HCPCS, CPT, ICD-9, AND ICD-10 codes
Knowledge of Healthcare / Medicare Terminology
Experience in use of Medical billing software (Mediware)
Physical Requirements and Work Environment:
Careers with AxelaCare. Discover a health services career that encourages your professional growth while delivering steadfast commitment to exceptional patient care. That's what you discover at AxelaCare. We were founded by a close group of medical professionals in Lenexa, KS to provide patient-focused, state of the art home infusion services for acute, hemophilia and Intravenous Immune Globulin (IVIG) therapies. Today we collaborate with leading doctors to develop breakthrough technologies for patient outcomes assessment; and we recently joined Optum, part of the UnitedHealth Group family of companies. It all reinforces our commitment to empowering people in the pursuit and delivery of exceptional patient care, and creating personalized career paths to discovering your life's best work.
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: Billing, Claims, Medical Claims, Healthcare Claims, Office, UnitedHealth Group, Optum, OptumRx, Training Class, Customer Service Representative, Customer Service, CSR, Data Entry, Adjustments, Phone Support