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 has responsibilities for patient accounts, accurate payment posting, denial management and customer service functions for Premiere Medical Resources.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:30am – 5:00pm EST. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 2750 FRONT ST CUYAHOGA FALLS OH.

Primary Responsibilities:

• Posts patient and insurance payments to the correct account within the prescribed timeframe with a 95% or higher accuracy rate.
• Analyzes and resolves accounts where underpayments, overpayments or non-payments have occurred.
• Completes adjustments for denials or non-covered services
• Research needed to recover remits not received
• Balances payments and direct deposits
• Maintains working knowledge of industry rules, regulations, policies and laws including but not limited to Ohio Prompt Pay, HIPAA, CMS and Medicaid guidelines.

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
• Must be 18 years old or older
• 2 years medical billing experience in a healthcare facility
• Demonstrable Computer aptitude - Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system application
• Ability to work overtime when needed at the end of each month. Overtime is as needed based on business conditions.
• Ability to work our normal business hours of 8:30am – 5:00pm EST.

Preferred Qualifications:

• Medical Terminology 
• Experience working with eClinicalWorks
• Experience working with healthcare Insurance follow up

Soft Skills:

• Must be able to work under pressure and meet deadlines.

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.

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