
Medicare Billing Representative
Welcome to UnitedHealth Group, where we believe in making a difference in the lives of our members and communities. We are currently seeking a highly motivated and detail-oriented individual to join our team as a Medicare Billing Representative. In this role, you will be responsible for accurately and efficiently processing Medicare billing claims, ensuring compliance with all Medicare regulations and guidelines. As the face of our organization, we are looking for someone who is dedicated to providing exceptional customer service and has a passion for helping others. If you have a strong understanding of Medicare billing processes and possess excellent communication and problem-solving skills, we encourage you to apply for this exciting opportunity to make a positive impact on the healthcare industry.
- Process Medicare billing claims in a timely and accurate manner.
- Ensure compliance with all Medicare regulations and guidelines.
- Provide exceptional customer service to members and external stakeholders.
- Maintain a thorough understanding of Medicare billing processes and stay up-to-date on any changes or updates.
- Communicate effectively with internal teams, members, and external partners to resolve any billing issues or discrepancies.
- Collaborate with other departments to gather necessary information for billing purposes.
- Identify and escalate any potential compliance issues or concerns.
- Maintain accurate and organized records of all billing activities.
- Respond to inquiries and requests from members and external stakeholders regarding billing processes.
- Work closely with Medicare policies and procedures to ensure accurate billing and claims processing.
- Attend training and education sessions to stay current on Medicare regulations and guidelines.
- Assist in developing and implementing new processes to improve efficiency and accuracy of billing procedures.
- Participate in team meetings and contribute ideas for process improvement.
- Represent UnitedHealth Group in a professional and positive manner at all times.
- Prioritize and manage multiple tasks to meet strict deadlines.
- Maintain confidentiality of all member and company information.
- Other duties as assigned by supervisor or management.
Understanding Of Medicare Policies And Procedures: A Medicare Billing Representative At Unitedhealth Group Must Possess A Thorough Understanding Of Medicare Policies And Procedures, As They Will Be Responsible For Accurately Billing And Coding Claims According To These Guidelines.
Knowledge Of Medical Billing Software: Proficiency In Using Medical Billing Software Is A Must For This Role. The Ideal Candidate Should Have Experience Using Electronic Medical Record (Emr) Systems And Be Able To Navigate Through Different Billing Platforms.
Familiarity With Icd-10 And Cpt Coding: The Medicare Billing Representative Should Be Well-Versed In Icd-10 And Cpt Coding Systems, As These Are Used To Accurately Classify Medical Procedures And Diagnoses On Claims.
Communication And Customer Service Skills: As A Representative Of Unitedhealth Group, The Medicare Billing Representative Should Possess Excellent Communication And Customer Service Skills To Effectively Interact With Patients, Providers, And Insurance Companies.
Attention To Detail And Accuracy: A High Level Of Attention To Detail And Accuracy Is Crucial For This Role, As Even Small Errors Can Lead To Claim Denials And Delays In Reimbursement. The Ideal Candidate Should Have A Demonstrated Ability To Maintain Accuracy While Handling A Large Volume Of Claims.
Data Entry
Communication
Time Management
Attention to detail
customer service
Claims Processing
Problem-Solving
Medical coding
PAYMENT POSTING
Insurance Verification
Billing Software
Medicare Regulations
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Teamwork
Active Listening
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Medicare Billing Representative is $35,000 to $50,000 per year. However, factors such as location, experience, and employer can greatly influence the actual salary for this position. Some professionals in this role may earn significantly more, with top earners making upwards of $70,000 per year.
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UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. UnitedHealth Group, Inc. provides health care coverage, software and data consultancy services. It operates through the following segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment utilizes Optum's capabilities to help coordinate patient care, improve affordability of medical care, analyze cost trends, manage pharmacy benefits, work with care providers more effectively, and create a simpler consumer experience.

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