Billing Representative - Norristown, PA

UHG Norristown, PA

About the Job

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. SM

In an environment where the patient is at the center of everything that we do the individuals in this position typically reconcile medical claims for the purpose of collecting revenue for the organization. They work with patient, client and / or Third Party insurance bills, and may work on one or more of these processes on a daily basis.
The Billing Representative will be responsible for the following.

Primary Responsibilities:

  • Focused efforts on increasing cash and reducing bad debt
  • Apply payments and denials to third party carriers in all media types
  • Interpret Explanation of Benefits for appropriate follow up action
  • Complete refunds / adjustments to customer’s accounts, while providing necessary back - up information in order to maintain accuracy
  • Contact Third Party carriers to follow up on denied and un - responded claims
  • Analyze and apply denials
  • Process and review claims
  • Perform screen scrapes
  • Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues
  • Handle patient indigency and bankruptcy claims
  • Make have contact with insurance carriers, clients, patients and / or other outside sources
  • Regular research involving both the web and billing systems
  • May be a certified Medical Coder and / or involved with medical coding
  • Maintain Compliance and HIPAA standards at all times
  • Meet or exceed daily production standards
  • Meet or exceed daily quality standards
  • Ability to work on various other projects as needed

  • High School Diploma / GED or higher
  • 1 year experience in Patient, Client or Third Party insurance billing
  • Proficiency in Microsoft Word (creating and editing documents)
  • Familiarity with computer and Windows PC applications to perform primary job duties
  • Ability to work a regular schedule Monday - Friday 8am - 4:30pm or flex schedule 7:00 am - 4:30pm Monday - Thursday and 7am - 11am on Friday
  • This position may require additional access approvals inclusive of extended background verifications post hire
  • Experience in multiple operational areas or QA / QC 
  • Proficiency in Microsoft Excel (creating and maintaining spreadsheets)
  • Basic Math skills (addition, subtraction, multiplication, and division)
Soft Skills:
  • Internet navigation skills
  • Excellent verbal and written communication skills
  • Demonstrated problem solving skills
  • Good organizational skills
  • Ability to multi-task, including the ability to type while talking on the phone
  • Ability to work independently and as part of a team
  • Ability to work overtime as needed, based on department needs
  • Ability to work in a fast-paced environment
  • Ability to meet production and quality standards
  • Ability to handle other projects as assigned
Physical Requirements and Work Environment:
  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer
  • Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work.SM
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: Medical Billing, Billing Representative, Insurance Claims, Norristown, PA, Quest, Healthcare