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Billing Liaison - Albuquerque, NM - 927353 - Albuquerque - 87121

Company: unitedhealthgroup
Location: Albuquerque
Posted on: June 12, 2021

Job Description:

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) Billing Specialist is a key position within Revenue Cycle Management that acts as the liaison between Operations, Coding Team, IT and Billing Vendor. This role assists with managing the claims process, working denials, collaborating with the billing vendor on accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence as needed. The incumbent will assist in the clarification and development of process improvements and inquiries as needed. Activities include phone contact with patients to ensure all patient interactions are handled with care and accuracy to work toward patient understanding financial responsibilities while maintaining focus on organizational and departmental goals. Coordinates with management to resolve billing questions across the organization and work in conjunction with coding and operations to ensure accuracy of billing and reduce errors. Responsibilities include researching accounts, resolution of denials, charge corrections, tracking of claims data, working charge edits, patient complains, validation of data and assist with process improvement initiatives. Primary Responsibilities: Serve as the point of contact for billing vendor and operations Assist with reviewing charge edits and processing charge corrections Point of contact for the clinics when a patient complaint arises Maintains relationship with billing vendor, including appropriate follow-up with support issues Coordinate the process of patient eligibility through various third-party sources and train clinic staff on proper eligibility Work with reception staff, ensure appropriate collection of co-pays, spend down and self-pay fees Handles patient inquiries and answers questions from clerical staff and insurance companies Identifies and resolves patient billing problems Denial and insurance follow-up management Assist with coordination and account review for refund processing Monitor AR KPIs and identify areas for improvement Performs charge entry functions as needed Account Receivable Follow Up Insurance and patient accounts Issues adjusted, corrected, and/or rebilled claims to third party payers Posts adjustments, transfer of responsibility and refunds, as necessary Assure coding is compliant and up to date Reviews accounts and makes recommendations to the Controller regarding non collectible accounts Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations Responds to requests from third party payors and/or patients regarding reimbursement problems and issues Maintains tracking system of accounts worked and outcome of each contact. Initiates any follow up issues with appropriate parties and maintains tracking of all communications. Works with Clinic Operations to communicate anticipated opportunities for cash collections Develops policies, processes, strategies and goals that support the department and organization goals. Maintains knowledge of policy and procedures as they apply to insurance coverage benefit levels, eligibility systems and verification processes Performs other duties as assigned Youll 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 or GED 3+ years of Medical Billing experience Multi Specialty Knowledge of general accounting principles Medical Practice billing experience: familiarity with medical claims, explanation of benefits, coordination of benefits, medical claim denial information and any other medical claim correspondence Ability to analyze and interpret data, conduct research and determine problem resolution Ability to respond to demands in timely manner and proven customer service focus for both internal and external customers If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders Preferred Qualifications: Associate Degree in business administration or related field Medical Coding experience / CPC Certified experience in patient collections in a Medical Practice setting Solid communication and interpretation skills Physical Demands: Frequently standing Frequently sitting Frequently walking Lifting light to 10 lbs

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) OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCares support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians. 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. Job Keywords: Billing Liaison, Revenue Cycle, Accounts Receivable, Accounts Payable, Billing, Albuquerque, NM, New Mexico

Keywords: unitedhealthgroup, Albuquerque , Billing Liaison - Albuquerque, NM - 927353 - Albuquerque - 87121, Other , Albuquerque, New Mexico

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