For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

　　Positions in this function is responsible for the preparation and review of all incoming encounter data and explanation of benefits information received by the Business Office.

　　Primary Responsibilities:

　　Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer Reviews encounter data forms for accuracy of CPT and ICD-9 codes, required modifiers, and other encounter data Prints insurance claim forms Maintains Claim Form log Performs electronic claims submission Maintains summary report notebooks and confirmation logs Reviews insurance claim forms for accuracy and completeness Makes necessary claims corrections Sorts and reviews payments received by the Business Office Calculates insurance contact adjustments Prepares payments for data entry according to Payment Calculation policies and procedures Applies knowledge of Medicare and Medic-Cal guidelines in reviewing claims to ensure appropriate use of modifiers and CPT/ICD-9 codes Corrects claims appearing on edit reports Maintains Edit Report binders Communicates trends to department supervisors Maintains working knowledge of general claims requirements and updates to ICD-9/CPT codes Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Performs additional duties as assigned

　　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.

　　Years of post-high school education can be substituted/is equivalent to years of experience

　　Required Qualifications:

　　1+ years of medical billing experience Knowledge of CPT and IDC-10 codes Working knowledge of business billing office duties Working knowledge of Medicare and Medi-Cal guidelines Knowledge of HMO and PPO claims requirements Ability to work office based position in our El Segundo, CA office office

　　Preferred Qualifications:

　　CPC certificate Bilingual

　　California Residents Only: The hourly range for California residents is $16.00 to $27.31 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

　　At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

　　Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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