Remote Authorization & Pre-Billing Specialist

Optum; San Diego (CA); Remote; USD 28,000 - 50,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental, Vision, Life & AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits

Job summary

UnitedHealth Group is seeking a detail-oriented Revenue Cycle Specialist in San Diego, CA. This full-time role supports hospital billing, patient access, and denial prevention, with collaboration across coding, CDI, and finance teams. The position offers telecommuting flexibility within the U.S.

and a competitive benefits package. The successful candidate will have 2+ years of hospital revenue cycle experience, strong verification skills, and proficiency with Microsoft Office.

Qualifications

• 2+ years of hospital revenue cycle experience
• 2+ years of experience in Patient Access, Financial Clearance, Insurance verification, authorization management, Hospital Billing, Claims Editing, Denials Prevention, or CDI collaboration
• 2+ years of experience with hospital patient accounting systems, claim editing and work queue management
• Basic level of proficiency with Microsoft Office

Responsibilities

• Review in patient and outpatient accounts prior to billing
• Validate registration and demographic accuracy
• Verify insurance coverage and financial class assignment
• Confirm authorizations, referrals, and medical necessity requirements
• Review charges, billing indicators, and account edits
• Collaborate with Coding, Clinical Documentation Integrity (CDI), Patient Access, Case Management, and Billing teams to resolve discrepancies before claim release.
• Escalate high-dollar, complex, or at-risk accounts for resolution.
• Work with partnering departments (Financial Counseling, Scheduling, Financial Clearance, and clinical areas) to ensure all aspects of the patient's encounter are completed as needed
• Maintain regulatory and payer compliance standards
• Meets or exceeds audit accuracy standards. Works worklists and error reports timely, and proactively seeks assistance to resolve as needed
• Support reduction of DNFB (Discharge Not Final Billed) inventory and claim delays
• May perform other duties upon request

Skills

Revenue cycle

Hospital billing

Insurance verification

Authorization management

Coding (CDI) collaboration

Audit accuracy

Microsoft Office

Regulatory compliance

Discrepancy resolution

Education

High School Diploma/GED

Job description

UnitedHealth Group is seeking a detail-oriented Revenue Cycle Specialist in San Diego, CA. This full-time role supports hospital billing, patient access, and denial prevention, with collaboration across coding, CDI, and finance teams. The position offers telecommuting flexibility within the U.S.

and a competitive benefits package. The successful candidate will have 2+ years of hospital revenue cycle experience, strong verification skills, and proficiency with Microsoft Office.