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Denial Representative - Rancho Cordova, CA or Phoenix, AZ

Company: UnitedHealth Group
Location: Rancho Cordova
Posted on: March 23, 2020

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 Healthcare 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 Primary Responsibilities: Contact customers to determine reason for payment delinquency Negotiate and advise on collection of overdue / incorrect claims and take appropriate action to recover overdue payments Handle unresolved inquiries / issues Responsible for adhering to collection practices May work with outside legal counsel and / or outside agencies in more complex collection cases Some work is completed without established procedures Basic tasks are completed without review by others Hospital or patient accounting department functions, operations and procedures Medical terminology, procedure and diagnosis coding sufficient to assess accuracy of patient accounts Covered insurance benefits, billing requirements and procedures for third party payers and / or Government Programs Data elements for UB04 / 1500 and / or State of California Medi - Cal Program Operation of on - line computerized patient accounting systems and / or electronic billing systems Accounting practices and procedures common to accounts receivable General clerical office practices and procedures Medical terminology HCPCS / CPT and ICD9 / ICD10 Coding understanding Hospital and patient accounting department functions Insurance policies and their benefits Data processing input devices Account receivable practices and procedures General clerical office practices Knowledge of payer contracts 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 higher) 2+ years of experience working with Hospital Claims and / or Denials Ability to create, copy, edit, send, and save documents and correspondence within Microsoft Word and Microsoft Outlook Experience in interpreting Payer Contracts and EOB (Explanation of Benefits) Ability to work an 8 - hour shift between the hours of 6:00 am – 5:00 pm Monday - Friday Preferred Qualification: Previous experience in a Revenue Cycle position Ability to write technical appeals Soft Skills: Ability to learn new and complex computer system applications Physical Requirements and Work Environment: Extended periods of sitting at a computer and use of hands/ fingers across keyboard or mouse Office environment Careers with OptumInsight.  Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do  your life’s best work. 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. Keywords: Rancho Cordova, CA, Phoenix, AZ, Collections Representative, denials, claims, word, Excel, Outlook

Keywords: UnitedHealth Group, Rancho Cordova , Denial Representative - Rancho Cordova, CA or Phoenix, AZ, Other , Rancho Cordova, California

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