Senior Credit Balance Clerk - Remote in Texas - 2010625
UnitedHealth Group
2021-10-30T01:33:07Z
Irving
Texas
United States
Financial Services - Banking / Investment / Finance
(No Timezone Provided)
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
Working Schedule: Schedule Monday-Friday standard business hours. No nights, no weekends and no holidays.
General Job Profile
Moderate work experience within own function Some work is completed without established procedures Basic tasks are complete without review by others Supervision/guidance is required for higher level tasks Leads with compassion and integrity and embodies UHG Core Values Provides oversight, training, and support to the Credit Balance Specialists Utilizes various reports to ensure all aspects of the Credit Balance workflow are appropriately targeted for resolution, including (but not limited to) debits in credit queues, single-line item credits, complex high dollar credits, aged credits, and daily SLAs If you currently reside in the state of Texas, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Applies knowledge/skills to activities that often vary from day to day Demonstrates thorough knowledge and skills in own function Responds to standard requests May require assistance in responding to non-standard requests Solves routine problems by following established procedures Reviews accounts including: Explanation of Benefits (EOB)/ Electronic Remittance Advice (ERAs), payments, adjustments, validate patient payments, validate coordination of benefits, and all account comments; contacts and communicates with insurance companies to gather additional information, as necessary, to ensure that credits are accurate Refunds overpayments or initiates takeback requests on accounts and transfers payments to the appropriate accounts Conducts appropriate review to accurately transfer payments in accordance with established procedures Assists team with more complex accounts Assists with project initiatives as needed Assists with project assignment and coordination as needed Assists with SOP and client-based job aids Processes and reviews escalations Assists with team huddles, working sessions, and on-the-job training, as needed Assists Lead with root cause analysis Proactively identifies, researches and resolves (with position scope) unusual, complex or escalated issues, as necessary Ability to identify workflow improvement opportunities, inventory trends, and issues and reports findings to Lead Assists with offshore partners Works with lead to solve more complex problems Prioritizes and organizes own work to meet agreed upon deadlines Attends weekly workforce management calls to ensure that team is meeting production expectations Ability to identify and articulate non-compliance with established O360 Credits Policy requirements Ability to troubleshoot, understand and/or adapt moderately complex oral and or written instructions/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 or higher 3+ years of experience in revenue cycle and health/medical billing and collections 1 year of experience in Epic Proficient in 10 key and alpha/numeric data entry Advanced knowledge in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use Preferred Qualifications:
1 year of experience in Athena, GECB, Nextgen, eCW and Allscripts preferred Soft Skills:
Ability to work in a fast-past, deadline driven environment Ability to work effectively in both team and individual environments UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Senior Credit Balance Clerk - Remote in Texas - 2010625
Financial Services - Banking / Investment / Finance
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
Working Schedule: Schedule Monday-Friday standard business hours. No nights, no weekends and no holidays.
General Job Profile
Moderate work experience within own function Some work is completed without established procedures Basic tasks are complete without review by others Supervision/guidance is required for higher level tasks Leads with compassion and integrity and embodies UHG Core Values Provides oversight, training, and support to the Credit Balance Specialists Utilizes various reports to ensure all aspects of the Credit Balance workflow are appropriately targeted for resolution, including (but not limited to) debits in credit queues, single-line item credits, complex high dollar credits, aged credits, and daily SLAs If you currently reside in the state of Texas, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Applies knowledge/skills to activities that often vary from day to day Demonstrates thorough knowledge and skills in own function Responds to standard requests May require assistance in responding to non-standard requests Solves routine problems by following established procedures Reviews accounts including: Explanation of Benefits (EOB)/ Electronic Remittance Advice (ERAs), payments, adjustments, validate patient payments, validate coordination of benefits, and all account comments; contacts and communicates with insurance companies to gather additional information, as necessary, to ensure that credits are accurate Refunds overpayments or initiates takeback requests on accounts and transfers payments to the appropriate accounts Conducts appropriate review to accurately transfer payments in accordance with established procedures Assists team with more complex accounts Assists with project initiatives as needed Assists with project assignment and coordination as needed Assists with SOP and client-based job aids Processes and reviews escalations Assists with team huddles, working sessions, and on-the-job training, as needed Assists Lead with root cause analysis Proactively identifies, researches and resolves (with position scope) unusual, complex or escalated issues, as necessary Ability to identify workflow improvement opportunities, inventory trends, and issues and reports findings to Lead Assists with offshore partners Works with lead to solve more complex problems Prioritizes and organizes own work to meet agreed upon deadlines Attends weekly workforce management calls to ensure that team is meeting production expectations Ability to identify and articulate non-compliance with established O360 Credits Policy requirements Ability to troubleshoot, understand and/or adapt moderately complex oral and or written instructions/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 or higher 3+ years of experience in revenue cycle and health/medical billing and collections 1 year of experience in Epic Proficient in 10 key and alpha/numeric data entry Advanced knowledge in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use Preferred Qualifications:
1 year of experience in Athena, GECB, Nextgen, eCW and Allscripts preferred Soft Skills:
Ability to work in a fast-past, deadline driven environment Ability to work effectively in both team and individual environments UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.