Remote Senior Medical Billing Specialist — Denials & AR Expert

UnitedHealthcare; Dallas (TX); À distance; USD 51 577 000 - 91 693 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k

Résumé du poste

UnitedHealth Group is seeking a Senior Biller for a national remote role overseeing physician billing and AR management. You will refile, appeal, and coordinate resolution of complex claims while supporting team members with payer knowledge and best practices.

The position requires extensive experience in healthcare billing, payer websites, EOBs, and EHR systems, with strong analytical and communication skills to ensure timely, accurate account resolution.

Qualifications

• High School Diploma / GED OR equivalent work experience.
• Must be 18 years of age OR older.
• 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 interpreting 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. Flexibility to work any shift during normal business hours (8:00 am - 4:30 pm EST) with occasional overtime.

Responsabilités

• 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.
• Refiles and submits appeals, provides additional medical documentation, and completes timely follow-up through final account resolution.
• Analyze and reconcile 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.
• Review account activity for accuracy, identify discrepancies, and take corrective action.

Connaissances

Analytical skills

Attention to detail

Communication skills

Independent work

Customer service

Formation

High School Diploma or GED

Coding and Billing certificate program (preferred)

Outils

Epic Professional Billing

Description du poste

UnitedHealth Group is seeking a Senior Biller for a national remote role overseeing physician billing and AR management. You will refile, appeal, and coordinate resolution of complex claims while supporting team members with payer knowledge and best practices.

The position requires extensive experience in healthcare billing, payer websites, EOBs, and EHR systems, with strong analytical and communication skills to ensure timely, accurate account resolution.