Sr Credit Balance Clerk - Remote in Texas

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)

Schedule Monday-Friday standard business hours. No nights, no weekends and no holidays.

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.

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.

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.
• Ability to work in a fast-past, deadline driven environment.
• Ability to work effectively in both team and individual environments.

Preferred Qualifications

• 1 year of experience in Athena, GECB, Nextgen, eCW and Allscripts preferred

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.

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.

Keywords: #RPO, revenue cycle, accounts receivable, EPIC, Athena, GECB, Nextgen, eCW, Allscripts, A/R, data entry, accounting, billing, collections, revenue cycle