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Optum

Patient Accounts Resolution Representative

Posted Yesterday
Be an Early Applicant
In-Office
5 Locations
18-32 Hourly
Junior
In-Office
5 Locations
18-32 Hourly
Junior
The Patient Accounts Resolution Representative manages inbound calls, resolves billing inquiries, and ensures customer satisfaction while supporting healthcare accounts.
The summary above was generated by AI
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. 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.
In this position, you will be responsible for managing a large number of inbound calls in a timely manner. Your primary goal is to provide excellent customer service, resolve customer inquiries, and ensure customer satisfaction.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am - 4:30pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.
Primary Responsibilities:
  • Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies
  • Educate customers regarding the availability of receiving invoices and remitting payments through online applications
  • Resolved concerns related to patient balances on their accounts
  • Handles inbound calls
  • Routes accounts for review and resolution
  • Provides accurate information and facilitates resolution to customer and third-party inquiries while representing the organization
  • Reviews and analyzes account activity and payers explanations of benefits to verify payments and adjustments have been received and applied accurately
  • Processes patient mail
  • Other 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.
Required Qualifications:
  • High School Diploma / GED
  • Must be 18 years of age OR older
  • 1+ years of call center experience in a healthcare billing OR medical insurance setting
  • 1+ years of working with EOB (explanation of benefits) experience
  • Knowledge of CPT (Current Procedural Terminology) and/or medical claims processing
  • Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
  • Ability to work our normal business hours of Monday - Friday, 8:00am - 4:30pm CST

Preferred Qualifications:
  • 2+ years of medical insurance experience
  • Experience in healthcare billing
  • Epic or other EMR experience
  • Experience working with various insurance companies
  • Bilingual fluency in English and Spanish

Telecommuting Requirements:
  • Ability to keep all company sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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Top Skills

Cpt
Emr
Epic
Medical Claims Processing
Windows Pc Applications

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