Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 8:00 PM EST. Our office is located at 20414 North 27th Ave, Suite #450, Phoenix, AZ, 85027.

We offer 1 - 2 weeks of paid Optum new employee onboarding training and then the remainder will be on-the-job training. The hours of training will be during their normal scheduled shift.

Primary Responsibilities:

• Reviews open delivery tickets and prioritize billing activities
• Creates invoices that are accurately generated and submitted on a timely basis
• Discuss insurance coinsurance, copays, and deductibles with patients and educate them on their insurance coverage as needed
• Set up, edit, and maintain payment arrangements in advance or post treatment of patients
• Researching and resolving denials from upstream issues through receiving payment on the claim
• Ensures timely payment by identifying denial trends
• Understands how to research and work closely with insurance carriers for reimbursement requirements
• Provide exceptional Customer service to patients and support the patient pay team

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.

Required Qualifications:

• High School Diploma / GED OR equivalent work experience
• 2 years of experience with explanation of benefits (EOB)
• 2 years of experience with knowledge of CPT, ICD - 10, and HCPCPS coding
• 2 years of billing and collection experience
• 2 years of experience with benefits verification and prior authorization
• Ability to work any 8-hour shift between the hours of 8:00 AM - 8:00 PM EST from Monday - Friday
• Must be 18 years of age OR older

Preferred Qualifications:

• 2 years of experience in working with medical billing / medical collections, and / OR accounts receivables, patient pay
• 2 years of experience with working in Microsoft Office, including Microsoft Outlook
• Experience in Microsoft Word (creating, editing, saving, formatting)
• Experience in Microsoft Excel (create and edit spreadsheets)
• Experience with Unlimited Financial billing system
• Experience with Specialty drug and infusion billing in a hospital, HOPD, OR community based clinic setting
• Experience with reading and interpreting payer contracts and billing guidelines

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: 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.

#RPO #RED