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.
If you live within a commutable distance to Torrance CA, you will have the flexibility to work remotely, as well as work in the office as you take on some tough challenges.
Primary Responsibilities:
Oversees the receipt and review of all encounter data for professional and facility charges to ensure the accuracy of all coding and insurance information Reviewing Coding/Bundling rejections provide feedback and trends on what can be done on the front end to avoid rejection based off insurance payer guidelines Subject matter expert in activities related to process improvement initiatives Assists in team member training Troubleshoots escalated claims and payor issues by communicating with Supervisor Support of billing team members and provides suggestions for improvement. Serves as a resource of knowledge and guidance Meets productivity standards Performs routine audits Leads the identification and tracking of trends, reports major issues and potential threats/opportunities to leadership Establishes a positive culture. Emphasizes shared responsibility for managing outcomes by setting goals and establishing an approach of continuous improvement Conforms to all HIPAA laws and patient confidentiality requirements Protects and safeguards company and patient information Understands and complies with all policies and procedures in the Company Handbook Completes other job-related tasks as assigned Maintains a high standard of professional conduct at all times
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:
3+ years medical billing experience Third-party billing experience (MCR, MCL, PPO, WC) Experience with CPT/ICD10 coding Working knowledge of contracted insurance plans and billing guidelines Extensive knowledge of professional billing, guidelines and laws Proficiency with Microsoft Office applications to include Outlook, Excel, Word, etc. Ability to work a hybrid role (remote and 1-2 days in our Torrance office) Ability to work Monday-Friday from 7:30am - 4:00pm PST
Preferred Qualifications:
2+ years of medical billing lead experience IDX experience Nextgen experience Bilingual
California Residents Only: The hourly range for California residents is $18.80 to $36.78 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.
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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.