Hospital Bill Audit HBA Bill Breakdown Support - Remote in Mainland USA

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.

The Hospital Bill Audit (HBA) Bill Breakdown Support is a member of the Post - Pay Bill Breakdown group within the Hospital Bill Audit (HBA) team and supports our auditors and audit process. The primary responsibility of the role is to perform a review of the itemized bill line - by - line and create an electronic bill breakdown to be used by the auditors during their audits.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 AM - 5:00 PM.

We offer 4 weeks of paid on-the-job training. The hours of training will be aligned with your schedule during normal business hours.

If you are located within Mainland USA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Process provider itemized bills through OCR software for transformation and correction
• Validate the quantity, revenue code / CPT code, description, unit price and extended price of each line
• Research and correct any discrepancies found in the line - by - line review
• Ensure bill breakdown balances to the total charges found in Optum and client system(s)
• Request itemized bill verifications as needed from Eligibility & Research team
• Request new itemized bills from providers when necessary
• Upload completed bill breakdown to Optum system
• Update Optum system with any notes and required action codes
• 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 experience in medical claims / billing / collections
• Understanding of relevant privacy regulations (e.g., HIPAA)
• Understanding of healthcare billing practices (e.g., Revenue Codes, CPTs, HCPCS)
• Proficient computer skills including Microsoft Office suite; Microsoft Word (ability to create, copy, edit, save, and send documents), Microsoft Excel (ability to create, copy, edit, save, and send spreadsheets), and Microsoft Outlook (email and calendar management)
• Ability to work any of our shift schedules during our normal business hours of 8:00 AM - 5:00 PM from Monday - Friday

Telecommuting Requirements:

• Reside within Mainland USA
• 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

Soft Skills:

• Requires attention to detail, organizational, problem solving, and time management skills with flexibility to adjust to changing priorities
• Strong foundational math skills
• Effective oral and written communication skills
• Ability to develop effective relationships with our internal and external customers
• Must be self - directed and be able to prioritize own work

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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.

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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