Business Services Rep I- The Everett Clinic, Posting Team $1500 Sign on bonus

The Business Services department is seeking a Business Services Representative to join their team full time. This position will work remotely/hybrid after successful completion of in-person training (approximately 6 weeks) in Everett, WA.

$1,500 sign on bonus available for new hires!

The Everett Clinic, a part of Optum, offers excellent benefits including free onsite parking, retirement savings plan, tuition reimbursement, paid time off and holidays, health insurance as well as, professional growth opportunities.

The Business Services Representative functions as an integral member of the team and is responsible to ensure services provided to Everett Clinic/Optum patients are fully and correctly reimbursed by third-party carriers and patients in a timely manner, including the handling of paper and electronic correspondence and payments received for revenue cycle management. Focus on customer service when working with patients, clinical departments and carriers to ensure service questions and charge disputes are handled promptly and professionally. Demonstrate proficiency in job category skills through training, audit and certification to standard work. Flexible regarding work assignment based on certified skills and job categories to meet customer demand.

The Business Services Representative is responsible for and not limited to:

The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment.

Payment Entry
? Process manual payments and 0-pay explanation of benefit
? Initiate carrier denial appeals
? Process Remittance and work error work queues
? Research and Credit WQ

Payment and Cashiering Processing
? Batching processing incoming insurance checks and remittance
? Process Cash Bags and Perform Cash on Hand Audit
? Processing Patient Payments
? EDI Support: Claims Logic, Carrier Check/ACH & File tracking
? Cash reconciliation: Balancing Cash documents to AR

Claim Edit Work Queues and Paper Bills
? Process Claim Edit Work Queue Errors
? Process paper bills and attachments

Preferred Experience and Credentials:

Note that these requirements are representative, but not all-inclusive, of the knowledge, skill, and ability required to perform this job.
? Knowledge: Working knowledge of CPT & Diagnosis Coding, Medical Terminology, and basic Anatomy.
? Skills: Excellent interpersonal and team skills. Good Computer skills, minimum typing skill of 40 wpm.
? Abilities: Must have ability to work effectively to meet deadlines and assist others to do the same. Be competent in written and verbal communication. Have the demonstrated ability to work effectively with staff, patients, community, and external agencies.
? Education: High School Diploma/GED (preferred) or equivalent experience
? Experience: Prior customer service or billing experience preferred
? Certificate/License: None required, Certification in basic job category and one skill competency category expected after 6 months of job placement (including training, audit and certification). CPC Certification preferred.

Schedule: 40 hours a week. Monday-Friday 7am-3:30pm or 8:30am-5pm; schedule may vary depending on team

Sites vary in their hours of operation and as a result, a teammate may be required to work on holidays, weekends, evenings, or night shifts. Additionally, factors such as workload and patient needs may require variations in work schedules, location, job assignments, and number of hours worked.
? Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements.
? UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance.
? Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Interested in learning more? Let?s talk about our opportunities and your career growth!

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