Credit Balance Processor

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week. Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work. (sm) As the Credit Balance Processor you'll play a critical role in creating a quality experience that impacts the financial well-being of our patients. In an environment where the patient is at the center of everything we do, the Credit Balance Processor play an important role on a team that supports the Accounts Receivable department by performing combinations activities. The Credit Balance Processor will be required to successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role.

This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 4:30 pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 - 6 months of paid on the job training and the hours during training will be 8:0 am - 4:30 pm CST, Monday - Friday.

Primary Responsibilities

• Contact payers by telephone, fax, email, or letter to determine coordination of benefits, contractual, patient and government responsibilities as necessary to have the credit balance reach resolution
• Interpret complex contractual language to complete special projects according to contractual agreements, Medicare, or governmental regulations
• Cultivate effective working relationships with other departments within the RCM team to facilitate the resolution of accounts with credit balances
• Determine if accounts are paid correctly according to contractual agreements or governmental reimbursement methodologies
• Remain current on general regulatory and contractual requirements involving self-studies of payer bulletins and contracts through updates from the supervisor
• Requires contractual knowledge across multiple payer groups
• To support, enhance, and retain maximum cash reimbursement in accordance with contractual agreements
• Maintain positive relationships with patient, insurance companies and other payers to facilitate resolution of credit balance accounts
• Provide direction and guidance to less experienced team members
• Work from monthly reports reflecting highest dollars and oldest accounts to target and resolve priority accounts
• Resolve billing, collections, customer service requests, and reimbursement questions involving credit balance accounts
• Research and process requests from insurance companies requesting a refund on credit, debit or zero balance accounts
• Identify reoccurring problems, errors, and issues for inclusion on the issue log. Escalate problem accounts to Leadership when appropriate intervention is required
• To meet or exceed productivity and audit standards that has been established according to department requirements
• Follow established departmental policies, procedures, and objectives

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• High School Diploma / GED
• Must be 18 years of age OR older
• 2+ years of experience in insurance billing
• 2+ years of experience in patient, client, OR third-party insurance billing
• 2+ years of experience in Auditing
• Basic level of proficiency with Windows PC applications, which includes keyboard and navigation skills and ability to learn new computer programs
• Exceptional time management skills
• Ability to multi-task and collaborate with others
• Organizational skills are a must
• Ability to prioritize workflow
• Ability to adapt to changes
• Ability to communicate using tools such as Microsoft Outlook and Microsoft Teams chat
• Ability to work full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 4:30 pm CST. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications

• Work experience in a fast-paced environment requiring multi-tasking and problem-solving skills
• Intermediate level of proficiency with Microsoft Excel
• Experience with patient Billing Systems
• Experience with Claims processing and Billing workflow

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.