Medical Billing Representative - Providence, RI

Company:	UnitedHealth Group Company Profile \| Current Opportunities (100)
Job Location(s):	Providence
Employment Term:	Regular
Employment Type	Full Time
Start Date:	As soon as possible
Starting Salary Range:	Not Provided
Required Experience:	Open
Related Categories:	Accounting - General, Healthcare - Administration/Billing, Admin - Data Entry/Billing, Insurance - Admin/Clerical

Position Description

Medical Billing Representative - Providence, RI-331941

Description

Primary Responsibilities:

Accurate processing and completion of medical claims
Process claims that route out of automatic adjudication, within current turnaround standards
Proficiency in product lines applicable to processing unit
Understand and apply plan concepts to include: Deductible, Coinsurance, Co-pay, State variations
Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits
Recognize potential pre-existing conditions, misstatements and fraudulent claims
Process correspondence and requests for reconsideration within time service standards
Use pre-approved electronic letters as well as handwritten letters to communicate with customers, providers, attorneys, regulators and other external entities
Adhere to quality improvement initiatives
Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards
Special projects as required

Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.

We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.

As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.

Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.

Qualifications

Qualifications:

High School Diploma/GED is required
Proficiency in Microsoft Office (Word, Excel & Outlook) is required
Medical Billing experience is required
Previous experience working in an Accounts Receivable department is preferred
Insurance experience is preferred
Typical business hours are 8:00am - 4:30pm with some flexibility (Monday - Friday)

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Billing

Primary LocationUS-RI-Providence

Organization Small Physician Practice Soltn

Schedule Full-time

Number of Openings 1