Medical Biller

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. 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.

As a Medical Biller, you will be responsible for the preparation and review of all incoming encounter data and explanation of benefits information received by the Business Office. This position is full-time (40 hours/week) Monday - Friday, with the flexibility to work any of our 8-hour shift schedules between the hours of 6:00am - 6:00pm.

• 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
• Reviews encounter data forms for accuracy of CPT and ICD-9 codes, required modifiers, and other encounter data
• Prints insurance claim forms
• Maintains Claim Form log
• Performs electronic claims submission
• Maintains summary report notebooks and confirmation logs
• Reviews insurance claim forms for accuracy and completeness
• Makes necessary claims corrections
• Sorts and reviews payments received by the Business Office
• Calculates insurance contact adjustments
• Prepares payments for data entry according to Payment Calculation policies and procedures
• 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
• Maintains Edit Report binders
• Communicates trends to department supervisors
• Maintains working knowledge of general claims requirements and updates to ICD-9/CPT codes
• Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

• High School Diploma / GED
• 1+ years of medical billing experience
• 1+ years of general office experience
• Ability to work onsite at 19191 S. Vermont Ave, Torrance, CA
• Ability to work any of our 8-hour shift schedules between the hours of 6:00am - 6:00pm, Monday - Friday. It may be necessary, given the business need, to work occasional overtime or weekends
• Must be 18 years old OR older

• Knowledge of CPT and IDC-10 codes
• Working knowledge of business billing office duties
• Working knowledge of Medicare and Medi-Cal guidelines
• Knowledge of HMO and PPO claims requirements

UnitedHealth Group offers 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.

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.