Billing Representative

UnitedHealth Group

This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 06:30am 04:00pm. It may be necessary, given the business need, to work occasional weekends and overtime.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

  • Analyzes and applies denials to third party carriers in all media types.
  • Complies with departmental Business Rules and Standard Operating Procedures
  • Focuses efforts on decreasing the Accounts Receivable, increasing cash, and/or reducing bad debt.
  • Interprets explanation of benefits for appropriate follow up action.
  • Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information.
  • Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication.
  • Reviews and researches denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing.
  • Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
  • Conducts data entry and re-work for adjudication of claims.
  • Works on various other projects as needed.
  • Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.

Required Qualifications:

  • High School Diploma / GED (or higher) OR equivalent work experience
  • 1+ years of experience in A/R, Billing, and Customer Service, Insurance, or Healthcare.
  • Demonstrated ability using computer and Windows PC applications, such as Microsoft Outlook (setting calendar appointments, email) and Microsoft Excel (creating spreadsheets, filtering, navigating reports) instant message, video conferencing.

Telecommuting Requirements:

  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Ability to keep all company sensitive documents secure (if applicable)
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

  • Some College level classes/coursework
  • Medical terminology acumen and experience
  • Must reside within a commutable distance from Quest office and be able to go into the office as needed for training, meetings, etc., depending on business needs

APPLY HERE

Stat Tracker

TridentCare

Description

  • Monitors specimen testing and resulting workflow post collection for all STAT orders, and orders sent to reference labs.
  • Serves as liaison between client and Laboratory to ensure speedy resulting and release of results in the LIS. Activities can involve following up with dispatchers, phlebotomists, CLS, Lab Assistants, or specimen processors.
  • Serves as liaison between client and reference labs (stat labs) to ensure promt fax of results. Activities include calling the reference lab to follow up on result status, adding/modifying requested tests, refaxing results, making demographic corrections.
  • Completes data entry of patient demographics and lab order collection details into the LIS.
  • Actively monitors LIS “STAT Tracking” program to continually evaluate all pending orders and conduct appropriate follow-up on the oldest orders.
  • Collaborates with Lab Dispatch Department to gain an understanding of order comp[etion and drop status.
  • Contacts client facilities to schedule “Redraws”; orders that need to be recollected due to unfavorable circumstances.
  • Relays critical report values to appropriate personnel at client facilities.
  • Conducts detailed and thorough research to find missing specimens.
  • Escalates issues to appropriate management staff.
  • Assists Customer Service Departments with results requests.
  • Uses IP phone to answer calls, place calls, and redirect calls as needed.
  • Answers calls from reference labs and phlebotomists.
  • Uses email to communicate with in-house lab departments, phlebotomy supervisors, Lab Dispatch, and other departments.
  • Works cooperatively and fully communicates with Area/ Regional Phlebotomy Management, Logging staff, Lab Dispatch, Customer Service, Redraw Department, and Courier services.
  • Exercises initiative and responsibility by accommodating special requests, expediting urgent cases by conducting constant follow-up, and maintaining a positive attitude to connecting parties to ensure excellent customer service is provided.
  • Composes detailed written documentation of issues that occur throughout the shift. It may be necessary to do mild investigations of situations, or conduct troubleshooting, or oversee immediate handling of an unexpected problem.
  • Identifies and pursues self-improvement, and positively and quickly adapts to changes when directed.
  • Performs other duties as assigned, helps out when attendance issues arise within the office, maintaining a positive attitude during crisis and engaging in daily teamwork with minimal encouragement.

Skills

Required

Typing Skills Min 35 wpm

Intermediate

Typing Skills – 10 Key

Novice

Identify/Resolve Problems

Intermediate

English written/verbal

Some Knowledge

Communication Skills

Novice

Computer Skills

Intermediate

Preferred

Medical Terminology

Novice

Customer Service

Some Knowledge

Behaviors

Required

Dedicated: Devoted to a task or purpose with loyalty or integrity

Team Player: Works well as a member of a group

Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Preferred

Self-Starter: Inspired to perform without outside help

Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals

Education

Preferred

High School or better.

APPLY HERE

Audit Coordinator

HealthMark Group

JOB DESCRIPTION:

Location: Remote

HealthMark Group is growing and looking for bright, energetic and motivated candidates to join our team. This is an entry level position and an exciting opportunity for someone looking to start their career with a fast-growing company.

Our Audit Coordinator role involves entering data from various sources into the company computer system for processing and management. A candidate working in data entry will need to efficiently manage a large amount of information that is often sensitive or confidential.

Type of Role: FULL-TIME

Entry level job duties include but not limited to:

  • Preparing and sorting documents for data entry.
  • Manipulating and deduplicating excel lists.
  • Identifying client and patient matches within our computer system.
  • Entering data into database software and checking to ensure the accuracy of the data that has been inputted.
  • Resolving discrepancies in information and obtaining further information for incomplete documents.
  • Reports directly to Quality Control/Data Entry Manager Team Lead and ROI Manager
  • Completes Data Entry of all requests
  • Records any relevant notes on specific requests for further/proper handling throughout the request life cycle
  • Identify and accurately classify each request
  • Uphold HealthMark Group’s values by following our C.R.A.F.T.
  • Work quickly to meet the high-volume demand
  • Must dedicate at least 20 hours per week

Requirements:

  • Computer literacy and familiarity with various computer programs such as MS Office (formal computer training may be advantageous in progressing in this career)
  • Attention to detail
  • Knowledge of grammar and punctuation
  • Ability to work to time constraints

When applying, it would be greatly appreciated if you would complete the assessment screening process. This helps us to set candidates apart and make more informed decisions.

Pay- 15-16.00 per hour

APPLY HERE

Healthcare Billing Specialist

Labcorp

HEALTHCARE BILLING SPECIALIST (HBS)

LabCorp is seeking a HealthCare Billing Specialist to join our team! LabCorp’s Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then LabCorp is the place for you!

Responsibilities:

  • Research, translate, and analyze routine front end billing issues
  • Research, translate, and update demographic data to ensure prompt payment from customers
  • Resolve systems issues from daily reports to determine appropriate resolution action
  • Fast paced; after extensive training- will have daily/weekly goals to be met

Requirements:

  • High School Diploma or equivalent
  • Associate’s Degree or Medical Coding and Billing Certification a plus
  • REMOTE work; must have high level Internet speed (50 mbps) connectivity
  • 1 year Billing experience a plus, but not required
  • Ability to work and learn in a fast paced environment
  • Strong attention to detail
  • Ability to perform successfully in a team environment
  • Excellent organizational and communication skills
  • Strong verbal communication skills and excellent ability to listen and respond
  • Basic knowledge of Microsoft office
  • Alpha-Numeric Data Entry proficiency strongly preferred

Why should I become a Healthcare Billing Specialist at LabCorp?

  • Generous Paid Time off!
  • Medical, Vision and Dental Insurance Options!
  • Flexible Spending Accounts!
  • 401k and Employee Stock Purchase Plans!
  • No Charge Lab Testing!
  • Fitness Reimbursement Program!
  • And many more incentives!

APPLY HERE

Data Entry

Randstad

Job details

Medical company seeking a Data Entry person to help support their EHS department. You will be responsible for heavy data entry, formatting their procedures, reviewing procedures/metrics, project management, and other ad-hoc projects as assigned.

They are looking for someone who has strong Excel skills and if you have some sort of experience with EHS then that is a plus. You will be working M-F 8am-5pm PST with some flexibility in the schedule.

This position is 100% remote and is paying $22/hr. By being employed through Randstad you will be paid on a weekly basis. If you have data entry experience and have strong Excel background then this could be a good opportunity for you. If you are interested in Environment, Health & Safety then that is a plus.

Responsibilities

  • Heavy data entry
  • Advanced Excel
  • Formating their procedures
  • Supporting EHS department
  • Review metrics & procedures
  • Dig into details
  • Detail oriented
  • Ad-hoc help
  • Project management experience
  • Environmental, Health & Safety experience is a plus

Skills

  • Data Entry
  • Excel
  • Data Review
  • Detail Oriented
  • Formating
  • Project Management

Qualifications

  • Years of experience: 2 years
  • Experience level: Entry Level

APPLY HERE