Senior Medical Billing Specialist – Remote

UnitedHealth Group; United States; Remote; USD 25,000 - 44,000; Full time

Job summary

UnitedHealth Group, including American Health Network (AHN), is hiring a Senior Biller for remote U.S. coverage. The role involves researching and resolving complex insurance receivables, refiling claims, and collaborating with payers and internal teams. Training is provided and overtime may be required.

The position emphasizes accuracy, documentation, and adherence to payer requirements while supporting a fast-paced billing environment.

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 8:00 am - 4:30 pm EST; overtime may be necessary.

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, and payer requirements.
• Refile corrected claims, prepare and submit appeals, provide additional medical documentation, and follow-up through final resolution.
• Analyze and reconcile EOBs, remittance activity, payer correspondence, and patient balances.
• Initiate contact with payers, patients, internal partners, and third parties to resolve issues within authority.
• Explain patient liability, non-coverage determinations, and EOB information; process payments and plans.

Skills

Analytical skills

Communication skills

Attention to detail

Problem solving

Time management

Education

High School Diploma or GED

Tools

Epic Professional Billing

Job description

UnitedHealth Group, including American Health Network (AHN), is hiring a Senior Biller for remote U.S. coverage. The role involves researching and resolving complex insurance receivables, refiling claims, and collaborating with payers and internal teams. Training is provided and overtime may be required.

The position emphasizes accuracy, documentation, and adherence to payer requirements while supporting a fast-paced billing environment.