Remote Senior Medical Billing Specialist

UnitedHealthcare; Minneapolis (MN); Remoto; USD 25.000 - 44.000; Tempo pieno

Descrizione del lavoro

American Health Network (AHN), part of the Optum family, is seeking a Senior Biller to manage physician billing and the collection of third-party accounts receivable. This national remote role offers flexibility to telecommute from anywhere in the U.S.

within a large, caring healthcare network. Under the supervision of the Business Office Supervisor, you will research and resolve complex aging claims, refile and appeals, reconcile EOBs, and document activities in the EHR.

Competenze

• High School Diploma / GED OR equivalent work experience.
• 3+ years of current experience in a health care billing and collections environment OR a relevant health care setting using an accounting OR health care computer system.
• 3+ years of experience utilizing 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.
• 3+ years of experience demonstrating the ability to interpret EOBs, remittance information, physician billing statements, payer correspondence, and patient account activity.
• Proficiency with basic PC applications, internet research, and health care billing systems.
• Ability to work full time. Shift 8:00 am - 4:30 pm EST; possible overtime.

Mansioni

• 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 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.
• Respond to inquiries and correspondence from payers and patients with professionalism and accuracy.
• Explain patient financial liability, non-coverage determinations, EOB information, and physician service statements; process payments and payment plans accordingly.
• Review account activity for accuracy and completeness, identify discrepancies, and take corrective action.
• Work escalated or technically complex accounts and provide guidance to billing team members.
• Support onboarding, peer coaching, and knowledge sharing related to payer websites, system workflows, and billing practices.
• Identify recurring denial trends and communicate findings for process improvement.

Conoscenze

Analytical skills

Attention to detail

Communication skills

Customer service

Formazione

High School Diploma / GED

Strumenti

Epic Professional Billing

EHR systems

ICD-10-CM / CPT / HCPCS

Descrizione del lavoro

American Health Network (AHN), part of the Optum family, is seeking a Senior Biller to manage physician billing and the collection of third-party accounts receivable. This national remote role offers flexibility to telecommute from anywhere in the U.S.

within a large, caring healthcare network. Under the supervision of the Business Office Supervisor, you will research and resolve complex aging claims, refile and appeals, reconcile EOBs, and document activities in the EHR.