Remote Medical Collections Specialist

Optum; Dallas (TX); Remote; USD 22.000 - 40.000; Vollzeit

Zusammenfassung

Optum is seeking a remote Billing Specialist to support hospital and payer accounts from anywhere in the United States. The role involves collecting, reconciling, researching, and appealing on underpaid or denied claims while ensuring accuracy against payer contracts.

Strong communication with patients and providers is essential. The position requires 1+ year of hospital/facility collections experience and familiarity with Medicaid/Medi-Cal plans, UB-04, CPT, ICD-10, and Microsoft Office.

Qualifikationen

• High School Diploma or GED required.
• 18 years or older.
• 1+ year hospital/facility collections experience including follow-up, appeals, and denied claims.
• 1+ year experience with Medicaid/Medi-Cal Managed Care plans including appeals/denials.
• Experience navigating insurance portals to resolve denied claims.
• Experience interpreting UB-04, CPT, ICD-10, HCPCS.
• Proficient in Microsoft Word, Excel, Outlook.
• Available for training first month 6:00 AM–2:30 PM PST; full-time 8-hour shifts M–F 6:00 AM–5:00 PM PST.

Aufgaben

• Collect, reconcile, research, and handle denials and underpayments.
• Submit appeal letters for underpaid claims as directed.
• Interpret payer contracts to verify payment accuracy.
• Balance accounts and balance daily reconciliations.
• Collaborate with hospital staff to ensure proper coding and billing.
• Provide excellent customer service to patients and payers.
• Identify process improvements within the PFS department.

Jobbeschreibung

Optum is seeking a remote Billing Specialist to support hospital and payer accounts from anywhere in the United States. The role involves collecting, reconciling, researching, and appealing on underpaid or denied claims while ensuring accuracy against payer contracts.

Strong communication with patients and providers is essential. The position requires 1+ year of hospital/facility collections experience and familiarity with Medicaid/Medi-Cal plans, UB-04, CPT, ICD-10, and Microsoft Office.