![Optum](https://contents.bebee.com/companies/us/optum/avatar-NmIxV.png)
Senior Insurance Representative
1 month ago
Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Revenue Cycle Insurance Specialist Senior assignments include the "RCM Insurance Specialist Associate and Intermediate" duties. The Insurance Specialist Senior may be called upon to provide assistance for projects and escalated issues within the department, assist in the development of the department's policy and procedures, and help provide training/ job shadowing to new employees.
If you are located in MN or WI, you will have the flexibility to work remotely as you take on some tough challenges.
Primary Responsibilities:
Understand edits and appropriate department procedures to effectively submit and/or correct errors on claims to the production standards of the departmentUtilize various resources such as third-party publications, procedure manuals and participating contractual agreements, etc. to reconcile accountsAdvanced knowledge and understanding to process third party rejections using the Payor system and the billing system. Follow-up on open accounts receivable, re-filing and department status proceduresUtilize Excellian and various systems and demonstrate understanding of procedures for registration/verification modules, Claims Processing system, Web based provider systems, etc, if applicable to positionTrend analysis, Appeals and Resolves of low payment or underpaid accounts Reports to lead and or supervisor observations of WQ's and workflow processes that may need further review and or developmentProcess and resolve complex denials related to coding and site operations (i.e.: CPT related, medical necessity, RAC technical denials etc)Ability to deal with difficult revenue cycle situations and resolve issues delaying/preventing payments from 3rd party payersMay be asked to provide job shadowing/basic training to other team members on the specific nuances of various job functionsMay assist in the design and development of department policies, procedures and tip sheetsYou'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:
3+ years of experience in revenue cycle operations2+ years of experience working with Epic1+ years of experience in billing follow up and resolving denialsPreferred Qualifications:
1+ years of experience in medical coding*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.
#RPO
-
Insurance Sales Representative
1 day ago
Brockton, Massachusetts, United States Jacob Group Agency - Allstate Insurance Full timeAbout the RoleWe are seeking a highly motivated and results-driven Insurance Sales Agent to join our team at the Jacob Group Agency - Allstate Insurance. As an Insurance Sales Agent, you will play a critical role in helping our clients achieve their financial goals by providing them with tailored insurance solutions.Key ResponsibilitiesWork closely with...
-
Insurance Sales Representative
2 days ago
Brockton, Massachusetts, United States Jacob Group Agency - Allstate Insurance Full timeAbout the RoleWe are seeking a highly motivated and results-driven Insurance Sales Agent to join our team at the Jacob Group Agency - Allstate Insurance. As an Insurance Sales Agent, you will be responsible for working closely with clients to understand their insurance needs and providing tailored solutions.Key ResponsibilitiesBuild and maintain strong...
-
Insurance Representative
1 month ago
Brockton, Massachusetts, United States Optum Full timeOpportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by...
-
Territory Sales Representative
1 month ago
Brockton, Massachusetts, United States KSI Supply, Inc. Full timeJob: Territory Sales Representative (Midwest) About the CompanyKSI Supply and KSI Construction are successful, family-owned, Sheboygan County based businesses. KSI Supply specializes in wholesale agricultural forage plastic sales through a dealer network across North America. KSI Construction specializes in Agricultural, Commercial and Residential...
-
Senior Emergency Services Director
1 hour ago
Brockton, Massachusetts, United States Father Bills & Mainspring Full timeJob OverviewPosition: Senior Director of Emergency Services Organizational Mission: Father Bill's & MainSpring is dedicated to eradicating and preventing homelessness in Southern Massachusetts through initiatives that offer both emergency and permanent housing, as well as assistance in acquiring skills, employment, housing, and essential services. Our aim...
-
Senior Care Assistants
6 days ago
Brockton, Massachusetts, United States Right at Home South Shore Full timePosition Overview:Right at Home South Shore is seeking dedicated individuals to provide essential support to seniors in their homes. This role is perfect for those who have a genuine desire to assist others and make a positive impact in the community.Compensation:$17 - $18+/hourAvailable Shift Types:Part-time, flexible hours, Monday – Friday.Essential...
-
Senior Care Assistants
7 days ago
Brockton, Massachusetts, United States Right at Home South Shore Full timePosition Overview:Right at Home South Shore is seeking dedicated individuals to provide essential support to seniors in their homes. This role is vital in enhancing the quality of life for our clients.Compensation:$17 - $18+/hour Available Shift Types:Part-time, flexible hours, Monday – Friday.Qualifications: A genuine passion for helping seniors and...
-
Senior Structural Drafter
3 months ago
Brockton, Massachusetts, United States Engineering Systems, Inc. (ESI) Full timeAbout ESiEngineering Systems Inc. (ESi) is a multidisciplinary engineering and scientific investigation and failure analysis firm. We primarily work with law firms, insurance companies, and manufacturers on small to large-scale projects to answer any technical questions they have. As a firm, our projects can entail investigating major transportation...
-
Senior Care Assistants
2 days ago
Brockton, Massachusetts, United States Right at Home South Shore Full timePosition Overview:Right at Home South Shore is seeking dedicated individuals to provide essential support to seniors in their homes. Our focus is on enhancing the quality of life for our clients through compassionate care.Compensation:$17 - $18+/hour Available Shift Types:Part-time, flexible hours, Monday – Friday. Qualifications: A genuine desire to...
-
Senior Director, Toxicology
3 weeks ago
Brockton, Massachusetts, United States Insmed Incorporated Full timeCompany DescriptionInsmed is a global biopharmaceutical company on a mission to transform the lives of patients living with serious and rare diseases. Our most valuable resource is our employees, and everything we do is motivated by a patients-first mentality. We are dedicated to growing our team with talented individuals from around the world who are...
-
Sales Champion in Life Insurance
6 days ago
Brockton, Massachusetts, United States Globe Life AIL - Mason Doucette Full timePosition OverviewCompany Overview: Globe Life is a distinguished unionized life insurance provider dedicated to transforming the financial security landscape for our clients. Our team is made up of enthusiastic and motivated professionals who are committed to making a positive impact in the lives of others.Role Summary: Are you a driven individual with a...
-
Sales Champion in Life Insurance
6 days ago
Brockton, Massachusetts, United States Globe Life AIL - Mason Doucette Full timeJob OverviewCompany Background: Globe Life is a distinguished unionized life insurance organization dedicated to transforming the industry by empowering clients to secure their financial futures with assurance. Our team consists of enthusiastic and driven professionals committed to making a significant impact.Position Summary: Are you an energetic and...
-
Healthcare Services Representative
6 days ago
Brockton, Massachusetts, United States PT Recruiters Full timeCompany:PT RecruitersPosition:Healthcare Services RepresentativeLocation:Metro Detroit AreaPT Recruiters is a leading organization in the healthcare sector, dedicated to enhancing patient care through innovative solutions and exceptional service. Our team is composed of skilled professionals committed to addressing the diverse needs of our clients, including...
-
Sales Champion in Life Insurance
6 days ago
Brockton, Massachusetts, United States Globe Life AIL - Mason Doucette Full timeJob OverviewCompany Background: Globe Life is a distinguished unionized life insurance provider dedicated to transforming the financial landscape for our clients. Our team consists of motivated and ambitious professionals who are committed to making a positive impact. If you consider yourself a business athlete who thrives in competitive settings, we are...
-
Senior Emergency Services Executive
10 hours ago
Brockton, Massachusetts, United States Father Bills & Mainspring Full timePosition OverviewSenior Emergency Services Executive Organizational Mission: Father Bill's & MainSpring is dedicated to eradicating and preventing homelessness in Southern Massachusetts through initiatives that offer both emergency and long-term housing solutions, alongside support for skill development, employment, and essential services. Our goal is to...
-
Prosthetic Representative
4 weeks ago
Brockton, Massachusetts, United States Veterans Health Administration Full timeProvides supervision, administrative management, and direction to assigned staff with delegated full administrative and professional responsibility for planning and directing the staff activities for the section or equivalent work unit. Assures compliance with accrediting agency and regulatory requirements. Drafts, develops, and implements new local...
-
Senior Manager
2 months ago
Brockton, Massachusetts, United States Daikin Applied Full timeMake your mark at the world's largest HVAC companyDaikin Applied is seeking a Senior Manager - Regulatory and Industry Affairs. This key contributor will implement and modify strategies and oversee activities related to environmental regulations affecting assigned products/solutions, ensuring internal stakeholders are apprised of proposed and pending...
-
Customer Service Representative
3 days ago
Brockton, Massachusetts, United States Chick-fil-A Full timeCustomer Service Representative OpportunityWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a key member of our front-of-house team, you will be responsible for providing exceptional service to our guests, ensuring a positive dining experience, and contributing to the overall success...
-
Senior Care Services Coordinator
7 days ago
Brockton, Massachusetts, United States Old Colony Elder Services Full timeOld Colony Elder Services is dedicated to enhancing the lives of seniors and individuals with disabilities by offering essential information and service coordination that fosters healthy living and promotes active engagement within their communities. We are seeking a committed Senior Care Services Coordinator to join our Senior Care Options (SCO) team. This...
-
Call Center Representative
2 weeks ago
Brockton, Massachusetts, United States TruStone Financial Credit Union Full timeWHO WE ARE:TruStone Financial is a full-service, member-owned credit union that provides simple yet competitive financial tools to empower our members' financial well-being. Founded by teachers in 1939, TruStone Financial has since grown to the second-largest credit union in Minnesota and our 550+ employees serve more than 200,000 members across 23 locations...