Data Entry Representative - San Juan, PR

UnitedHealth Group

5d

About The Position

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.
The Data Entry Clerk will be supporting our Revenue Cycle Management Quest Diagnostics operations through Billing Data Entry, Billing Data Acquisition, and/or Third-Party Denials processes.
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.

Requirements

• 1+ years of data entry experience
• Customer service experience
• Professional proficiency in both English and Spanish
• Proficiency with computer, Windows PC and web applications including ability to navigate and learn new and complex computer system application
• Ability to work 40 hours/week during standard business operating hours Monday - Friday from 7:00am - 4:30pm (It may be necessary, given the business need, to work occasional overtime on weekends and holidays

Nice To Haves

• Medical billing experience
• Proven knowledge of medical or health insurance terminology
• Proven solid Microsoft Excel skills

Responsibilities

• Transfer data from imaged accessions into mainframe applications
• Data entry of billing mnemonics and all required billing information that appears on imaged requisitions (such as US postal address, medical codes, insurance carrier details etc.)
• Ensure that all needed “edits” are met and missing information is updated for billing
• Research and resolve billing errors with additional information received from client or patient
• Review bills denied by payer/insurance due to eligibility criteria. This can include patients not being covered on the date of service, errors with the patient's information or with the insurance information provided in the claim/bill
• Research and update bills to resolve denials for re-billing
• Navigate multiple computer applications (MS word, MS Excel, Online applications, Mainframe applications, etc.)
• May be required to conduct basic research in computer applications to perform data entry (address, billing codes, reject codes etc.)
• Follow any additional procedural guidelines to enter information into the systems

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed