Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)

Are you looking for a chance to get your foot in the door with a great company? You’ve found it here. Already one of the world’s leading health care companies, Optum, part of the UnitedHealth Group family of businesses, is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. Here, you’re not just working. You’re making great things happen for the people who rely on us for health care across the United States. You’re part of an elite team that’s equipped with the best tools and resources, the most thorough training and learning opportunities and a mission that can inspire you every day. 

Who are we? Optum360. Our Division within Optum360 partners with Quest Diagnostics to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be.

As a Senior Billing Representative, you will work by phone or correspondence to gather information and generate accurate billing statements to our customers for their insurance premiums. This is an excellent opportunity for someone with experience in a call center in the healthcare insurance billing industry. You will leverage your skills and have the ability to:

• Resolve calls while avoiding escalated complaints
• Demonstrate empathy and compassion to customers
• Triage and handle escalated situations
• Adapt to changes in a fast-paced environment
• Develop and maintain client relationships

If selected for this position, it is required that you successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role.

Primary Responsibilities:

• Researches, obtains and enters missing information/demographics for completion of accessions
• Conducts data entry for completion of accessions using computer and Windows PC applications
• Demonstrates competency in eligibility, billing and receivable systems and associated applications
• Educates external customers on how to provide complete billing information and avoid additional contacts for information
• Informs customers of billing problem/issue findings and resolution as appropriate
• Makes outbound calls to clients, patients, carriers and/or any internal or external source as needed to obtain missing or additional information
• Answers inbound calls from clients, patients , carriers and/or any internal or external source as needed to answer account inquires or resolve issues
• Responds to account inquires through written correspondences if unable to resolve via phone
• Handles sensitive client and patient interactions
• Maintains timely, accurate documentation for all appropriate transactions
• Generates and/or distributes reports and documentation to internal or external client to obtain missing information
• Reports problems, errors, and denial trends to management including PHI breaches
• Ability to work independently and as part of a team
• Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance
• This position is full-time (40 hours/week) with our site operating from Monday - Friday. It may be necessary, given the business need, to work occasional overtime and/or weekends or holidays

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 knowledge and experience in a call center and in the healthcare/insurance billing industry
• 1 years of customer service experience in a call center, phone support role, or medical billing office
• Medical terminology acumen and experience
• Successful completion of the UnitedHealth Group new hire training and demonstrated proficiency 
• Demonstrated ability using computer and Windows PC applications, which includes solid keyboard and navigation skills and ability to learn new computer programs 

Preferred Qualifications:

• Some College level classes / coursework 
• Certified medical coder or involved with medical coding
• Work experience in a fast paced environment requiring excellent multi-tasking skills
• Understands multiple billing requirements across various payers and states

Preferred Soft Skills:

• Ability to resolve calls, avoiding escalated complaints
• Ability to exhibit empathy and be courteous to callers
• Ability to triage and handle escalated situations
• Ability to work in a fast-paced environment
• Ability to adapt to changes
• Ability to develop and maintain client relationships

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000 lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

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.