Optum ยท 2 days ago
Billing Representative
United States
Full-time
Remote
Entry Level
$17.74/hr - $31.63/hr
1+ years expOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Billing Representative will analyze and apply denials to third party carriers, decrease Accounts Receivable, and collaborate with members or providers to evaluate claims errors. This role requires flexibility to work full-time hours and may involve occasional overtime.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Analyze and apply denials to third party carriers in all media types
Comply with departmental Business Rules and Standard Operating Procedures
Focus efforts on decreasing the Accounts Receivable, increasing cash, and / or reducing bad debt
Interpret explanation of benefits for appropriate follow up action
Utilize automation tools to verify eligibility, claim status and / or to obtain better billing information
Create work list through databases and manipulate data to analyze for trends and resolve claims for adjudication
Review and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data / information for processing
Communicate and collaborate with members or providers to evaluate claims errors / issues, using clear, simple language to ensure understanding
Conduct data entry and rework for adjudication of claims
Work on various other projects as needed
Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance
Qualification
Required
High School Diploma / GED
Must be 18 years of age or older
1+ years of experience in A/R, Billing, or Collections
1+ years of healthcare experience
Ability using computers and Windows PC applications, which includes strong keyboard and navigation skills and ability to learn new computer programs
Experience with Microsoft Excel - (general spreadsheet navigation, data entry and sorting)
Experienced with Microsoft Outlook - (create/schedule meetings, calendar invites, and create folders)
Work experience with data entry
Ability to work full time. Employees are required to have flexibility to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime
Preferred
Certified medical coder or involved with medical coding
Experience with medical claims processing
Medical terminology knowledge/experience
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase