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Job Details

UnitedHealth Group

Billing and Insurance Representative


Finance and Insurance Manager


Eugene, Oregon, United States

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The Billing & Insurance Follow Up Representative serves the patients, clinicians, and staff of Oregon Medical Group by analyzing outstanding receivables including no response/rejected medical claims and ensuring affected claims are promptly followed-up with, resulting in the reduction of outstanding balances, increased reimbursement, and the mitigation of unnecessary write offs.

Primary Responsibilities:

  • Apply billing and coding principles consistent with government regulatory standards, payer specific guidelines and policy.
  • Resolve outstanding receivables by investigating no response and rejected medical claims while maintaining productivity figures at or exceeding defined metrics after orientation period.
  • Perform follow up actions including correcting payer rejections, checking claim status, updating patient registration related items, and rebilling claims as necessary to ensure claims are processing in a timely fashion; escalate issues as appropriate to Senior Billing and Insurance Follow Up Representatives or leadership.
  • Analyze payer responses and correct as appropriate to ensure accurate responses are recorded per explanation of payments which may include taking or reversing adjustments and transferring payments or balances.
  • Collaborate with other Revenue Cycle or operational teams to resolve customer service or reimbursement related issues including talking directly with patients and gathering documentation to assist other team members with their books of work.

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.

Required Qualifications:

  • High School diploma/GED or equivalent experience
  • 1+ years of experience in medical billing
  • 1+ years of experience working with CPT, ICD-10, and HCPCS Coding
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Intermediate level of experience with Microsoft Suite
  • Experience using EPIC EMR

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

For more information on our Internal Job Posting Policy, click here.

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.