Healthcare Billing Specialist

2 weeks ago


Torrance, California, United States UnitedHealth Group Full time
Company Overview:
UnitedHealth Group is a leading global organization dedicated to enhancing healthcare through innovative technology and services. Our mission is to empower individuals to lead healthier lives by providing access to essential care, pharmacy benefits, and valuable resources.

Position Summary:
As a Healthcare Billing Specialist, you will play a crucial role in ensuring accurate processing of medical billing and claims. This full-time position requires a commitment to excellence and a focus on improving health outcomes for the communities we serve.

Key Responsibilities:
1. Demonstrate exceptional customer service skills, ensuring quality and care in every interaction.
2. Review and verify encounter data forms for accuracy, including CPT and ICD-9 codes.
3. Prepare and print insurance claim forms, maintaining a comprehensive Claim Form log.
4. Execute electronic claims submissions and manage summary report notebooks.
5. Assess insurance claim forms for completeness and accuracy, making necessary corrections.
6. Organize and review payments received, calculating adjustments as needed.
7. Apply knowledge of Medicare and Medi-Cal guidelines to ensure compliance with coding standards.
8. Maintain Edit Report binders and communicate trends to supervisors.
9. Uphold confidentiality and security of patient information in accordance with HIPAA regulations.
10. Perform additional duties as assigned to support the team.

Work Environment:
This role requires flexibility to work various 8-hour shifts during standard business hours. Occasional overtime or weekend work may be necessary based on business needs.

Qualifications:
  • High School Diploma or GED.
  • Minimum of 1 year of experience in medical billing.
  • At least 1 year of general office experience.
  • Ability to work onsite and adapt to shift schedules.
  • Must be at least 18 years of age.

Preferred Qualifications:
  • Familiarity with CPT and ICD-10 coding.
  • Understanding of business billing office operations.
  • Knowledge of HMO and PPO claims requirements.

Compensation and Benefits:
UnitedHealth Group offers a competitive hourly wage along with a comprehensive benefits package, including health insurance, retirement plans, and opportunities for professional development.

Diversity and Inclusion:
We are committed to creating a diverse and inclusive workplace where all individuals are valued and respected. UnitedHealth Group is an Equal Employment Opportunity employer, and we encourage applications from all qualified candidates.

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