Charge Capture Specialist

Optum; United States; Remote; USD 25,000 - 44,000; Full time

Job summary

Optum is offering a full-time, national remote position allowing you to telecommute from anywhere within the United States. You will join a collaborative team supporting ProHealth Care, handling charge capture, EMR entry, and billing compliance, with training provided.

The role requires EMR experience and medical terminology familiarity and offers weekday daytime hours with possible overtime. Ideal candidates will have a High School Diploma or GED, and experience with EPIC and Microsoft Office

Qualifications

• EMR experience required.
• Medical terminology experience required.

Responsibilities

• Ensures charges are captured in an appropriate and timely manner.
• Reviews, calculates, and enters charges in the EMR.
• Processes and completes charge entry.
• Ensures charges are compliant with federal regulations.
• May assist with audits.
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services.
• Handle resolution/inquiries.
• Other duties as assigned.

Skills

EMR experience

Medical terminology

Education

High School Diploma / GED

Tools

EPIC

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Explore opportunities with Optum, in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours of the training will be during normal business hours.

Primary Responsibilities:

• Ensures charges are captured in an appropriate and timely manner.
• Reviews, calculates, and enters charges in the electronic medical record (EMR).
• Processes and completes charge entry.
• Ensures charges are compliant with federal regulations.
• May assist with audits.
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services.
• Handle resolution/inquiries.
• Other duties as assigned.

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
• Must be 18 years of age OR older
• 1+ years of Electronic medical record (EMR) experience
• Medical terminology experience
• Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• EPIC experience
• Billing experience
• Business office experience
• Experience working in a metric-driven work environment
• Experience working within the health care Industry and with health care insurance
• Clerical or administrative support background
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
• *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.