Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start
Caring. Connecting. Growing together.
This BSA role is responsible for Legacy System utility set-up and maintenance, and support. Performs basic claims/ERA processing issue research & resolution on user technical support tickets. The role is responsible for researching and resolving missing interface files and updating the interface utility file mapping. This role works with internal/external customers to meet the needs of file transfer processes.Position in this function is responsible for Legacy System utility set-up and maintenance, and support. This role will also work with TES Operations Partners to identify, evaluate, and develop system procedures which are cost effective and meet business requirements. Function is responsible for utility set-up, testing, performing QA activities and providing details/recommendations/direction to Business Support Management related to any issues or problems detected.
Primary Responsibilities
- Performs MDIV Legacy System user setup and security access level support
- Performs basic system research in troubleshooting and resolving issues reported by Operations. Follows standard departmental practices and procedures in research where answers can be readily obtained in seeking solutions
- Performs basic base utility entry and maintenance which are semi-routine in nature; as well as update billing processing codes and data integrity check/review
- Test and performs QA activities on basic system settings/changes
- Performs basic claims/ERA processing issue research & resolution on user technical support tickets
- Completes basic ad hoc requests as needed for clients/operations or troubleshooting
- Conducts basic system support
- Other projects/duties as assigned
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications
- High school diploma or equivalent work experience
- 3+ years of experience in Medical billing experience in US Healthcare
- Experience in End-to-End Revenue Cycle Management process Adequate domain knowledge on various billing terminologies & processes like EDI, Denials and adjudication
- Solid personal computer literacy required; including working knowledge of relevant software packages such as Microsoft Office (Excel, Access, PowerPoint, and Word)
- Familiar with EDI 835 & 837 transaction sets (era and claim)
- Proficient in Microsoft Office Suite
- Proficient in computer networking applications
- Proven written & Verbal communication, Problem solving, Logical thinking
- Proven billing and/or analytical support within a medical billing office
- Proven ability to work with large amount
- Proven detail Oriented
- Proven ability to read specifications
- Proven analysis of Data Files and format
WORKING CONDITIONS
- Office Environment
- Physical requirements include general office demands
Competencies
- Ability to work in a fast-paced environment
- Excellent communication (both written and oral) and interpersonal skills
- Analytical thinking
- Excellent organizational skills
- Ability to multi - task
- Ability to meet position metrics goals (KPI's)
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
#NIC #NJP
