Medical Biller

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come.

Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California, to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.

Position in this function is responsible for providing leadership and support to other Billers and assisting in the day-to-day operations of the Business Office; office location is in El Segundo, CA.

Primary Responsibilities:

• Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer
• Maintains current working knowledge of CPT and ICD-9 codes, required modifiers and encounter data
• Generates claims from CDO system for data entry
• Reviews paper encounter forms to accuracy
• Performs data entry of encounter forms and copayments
• Assists with patient registration and insurance verification
• Maintains summary encounter data tracker report
• Reviews encounter forms for accuracy and completeness. Makes necessary corrections
• Prepares payments for data entry according to Payment Calculation policies and procedures
• Assists with patient billing inquiries
• Acts as liaison between Site Operations and Revenue Operations
• Applies knowledge of Medicare and Medi-Cal guidelines in reviewing claims to ensure appropriate use of modifiers and CPT/ICD-9 codes
• Corrects claims appearing on Edit Reports
• Serves as a resource to Optum staff on coding and general billing guidelines
• Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

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.

Years of post-high school education can be substituted/is equivalent to years of experience

Required Qualifications:

• 1+ years of experience in medical billing
• Professional working knowledge of CPT & Diagnosis Coding, Medical Terminology, and basic Anatomy
• Proven ability to demonstrate solid proficiency using MS Suite and other systems
• Hybrid role (ability to come into our El Segundo, CA office 1-2x per month)

Preferred Qualifications:

• CPC certificate
• 3+ years of medical billing and/or related job experience
• IDX experience
• HMO/managed care experience
• Proven bilingual

California Residents Only: The hourly range for California residents is $16.00 to $32.55 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.