Remote Senior Medical Billing Specialist

UnitedHealthcare; Minneapolis (MN); Remote; USD 25,000 - 44,000; Full time

Job summary

UnitedHealth Group is seeking a Senior Biller for a national remote role. You will manage a large portfolio of insurance receivables, refile corrections, appeals, and use the EHR and payer websites to resolve aging accounts.

Requires 3+ years in healthcare billing, ICD-10-CM, CPT, HCPCS, and experience with major payers; strong analytical, communication, and detail‑oriented skills; training on our benefits and flexibility to work within EST hours.

Qualifications

• 3+ years of current experience in a health care billing and collections environment
• 3+ years of experience using ICD-10-CM, CPT, and HCPCS codes
• 3+ years of experience researching and resolving complex insurance receivables, denials, underpayments, appeals, and aging accounts
• 3+ years of experience working with major third‑party payers, insurance plans, payer websites, billing requirements, and timely filing rules
• Proficiency with basic PC applications, internet research, and health care billing systems

Responsibilities

• Manage a significant inventory of insurance receivables, including complex, high‑dollar, aging, denied, and underpaid physician billing accounts
• Research account history, eligibility, benefits, coding, authorization, medical necessity, claim status, payment activity, contractual adjustments, and payer requirements to determine the appropriate resolution
• Refile corrected claims, prepare and submit appeals, provide additional medical documentation, and complete timely follow‑up through final account resolution
• Analyze and reconcile Explanation of Benefits (EOB) information, remittance activity, payer correspondence, physician billing statements, and patient account balances
• Initiate contact with payers, patients, internal partners, and other third parties; negotiate or coordinate appropriate resolution within established authority and guidelines
• Respond to inquiries and correspondence from payers and patients with professionalism, accuracy, and courtesy
• Explain patient financial liability, non‑coverage determinations, EOB information, and physician service statements; process payments and payment plans in accordance with established procedures
• Review account activity for accuracy and completeness, identify discrepancies or root causes, and take appropriate corrective action
• Work escalated or technically complex accounts and provide subject‑matter guidance to billing team members as needed
• Support onboarding, peer coaching, and knowledge sharing related to payer websites, system workflows, account documentation, billing practices, and follow‑up techniques
• Identify recurring denial, reimbursement, documentation, or workflow trends and communicate findings to the Business Office Supervisor for review and process improvement
• Maintain complete, accurate, and timely account notes and documentation in the applicable billing system and EHR
• Prioritize assigned work, meet productivity and quality expectations, and manage deadlines in a fast‑paced environment with frequent work‑related interruptions
• Perform duties in accordance with federal and state billing guidelines, payer contracts, industry requirements, and department policies and procedures
• Maintain confidentiality and protect patient and business information in accordance with applicable privacy and security requirements
• Demonstrate dependability, sound judgment, composure, attention to detail, and the ability to work independently
• Provide a positive service experience through effective communication and exceptional customer service
• Other duties as assigned

Skills

Analytical skills

Attention to detail

Communication skills

Time management

Remote work adaptability

Education

High School Diploma / GED or equivalent

Tools

Epic Professional Billing

EHR systems

Job description

UnitedHealth Group is seeking a Senior Biller for a national remote role. You will manage a large portfolio of insurance receivables, refile corrections, appeals, and use the EHR and payer websites to resolve aging accounts.

Requires 3+ years in healthcare billing, ICD-10-CM, CPT, HCPCS, and experience with major payers; strong analytical, communication, and detail‑oriented skills; training on our benefits and flexibility to work within EST hours.