UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Billing Representative - Providence, RI-315622
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description
Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.
Billing Representative - Providence, RI
Primary Responsibilities:
- Accurate processing and completion of medical claims
- Process claims that route out of automatic adjudication, within current turnaround standards
- Proficiency in product lines applicable to processing unit
- Understand and apply plan concepts to include: Deductible, Coinsurance, Co-pay, State variations
- Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits
- Recognize potential pre-existing conditions, misstatements and fraudulent claims
- Process correspondence and requests for reconsideration within time service standards
- Use pre-approved electronic letters as well as handwritten letters to communicate with customers, providers, attorneys, regulators and other external entities
- Adhere to quality improvement initiatives
- Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards
- Special projects as required
Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.
Qualifications
Qualifications:
- High School Diploma or GED is required
- Proficiency in MS/Office (Word, Excel & Outlook) is required
- Medical Billing experience is required
- Previous experience working in an Accounts Receivable department is preferred
- Insurance experience is preferred
- Typical business hours are 8:00am - 4:30pm with some flexibility (Monday - Friday)
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. All candidates are required to pass a drug test before beginning employment.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
