Associate Billing Representative - Carmel, IN

Company: UnitedHealth Group
Location: Carmel
Posted on: January 15, 2022

Job Description:

Opportunities with American Health Network, Part of Optum. When you join American Health Network (AHN), you become part of a team that strives to identify and retain the top healthcare professionals in the markets it serves. At American Health Network, we want to be the best health care organization we can be. Our mission is to improve the health of our patients. We're a physician-led organization, operating over 70 medical offices in Indiana and Ohio, with over 300 providers and 1200 employees. We're also part of Optum, in the UnitedHealth Group family of businesses, and backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone. That's an important differentiator as more people need our help simplifying the complexities of the American health care system. At the same time, the culture of AHN supports work-life flexibility for employees and places a high value on their physical, emotional, financial and other aspects of well-being.
Location: American Health Network, a Part of Optum: 10689 N Pennsylvania St. Ste 200, Indianapolis, IN 46280
Schedule: -1 -day -in Carmel office and 4 -days remote. No weekends or holidays
Primary Responsibilities:
Answers patients' questions regarding statements and insurance coverage
Prepares the HCFA form with data such as the names of the insurance company and policy holder, the policy number, and the physician diagnosis
Completes billing to the proper payees (Medicare, Medicaid, insurance company, patient, or third-party administrator) for services provided; ensures accurate patient demographics for billing; contacts the guarantor to obtain accurate information as necessary
Contacts the insurance company to verify patient coverage and obtain information concerning the extent of benefits
Computes the total medical bill showing the amounts to be paid by the insurance company and by the patient
Calls or writes companies with unpaid insurance claims to obtain settlement of the claims; may convert accounts to self-pay status per practice guideline
Contacts patients regarding outstanding balances; collects copayments and self-pay portions
Establishes payment plans to help patients manage payment of bills
Creates and mails insurance claims and patient statements
Rebills insurance companies or other third parties to secure payment for patients; sends documentation for appeals as necessary
Verifies all entries made by cashiers and makes corrections as necessary
Reviews edits from claim scrubber software
Researches and resolves unbilled claims
Reviews code scan edits, performs in conjunction with month end requirements
Manages insurance aging reports
Manages patient aging reports
Prepares accounts receivable reports
Maintains accuracy and production rates with regard to month end requirements
Complies with all company policies and procedures regarding HIPAA and handling of PHI
Complies with all company policies and procedures regarding handling of cash or other payments
Required Qualifications:
High school diploma or GED
1+ years of experience in medical billing
Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance
Preferred Qualifications:
Oncology billing or AR experience
NextGen EMR experience

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
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)

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.

Job Keywords: Associate Billing Representative, Carmel, Indianapolis, IN, Indiana

Keywords: UnitedHealth Group, Carmel , Associate Billing Representative - Carmel, IN, Accounting, Auditing , Carmel, Indiana