Hospital Bill Audit Support Claim Associate

UnitedHealth Group•Tampa, FL

2d•$16 - $29•Remote

About The Position

If you are located within Mainland USA, you will have the flexibility to work remotely as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The HBA Audit Support Associate position is a member of the Post-Pay Support group within the Hospital Bill Audit (HBA) team and supports our auditors and audit process. The primary responsibility of the role is to manage the exchange of all documents to and from our clients and providers, make outbound calls for audit documents, request audit fee checks, and any other support activities needed for the audit process. This position is full-time, 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 - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. We offer on the job training. The hours of the training will be based on schedule or will be discussed on your first day of employment. 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

High School Diploma / GED
Must be 18 years of age OR older
1+ years of experience in medical claim and/or healthcare industry experience
Understanding of relevant privacy regulations (e.g., HIPAA)
Proficient computer skills including Microsoft Office suite; Microsoft Word (ability to create, copy, edit, save, and send documents), Microsoft Excel (ability to create, copy, edit, save, and send spreadsheets) and Microsoft Outlook (email and calendar management)
Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm, Monday - Friday local time. It may be necessary, given the business need, to work occasional overtime.
Reside within Mainland USA
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.
Requires attention to detail, organizational, problem solving and time management skills with flexibility to adjust to changing priorities
Effective oral and written communication skills
Ability to develop effective relationships with our internal and external customers
Must be self-directed and be able to accomplish work with limited supervision and general work direction
Confidence in ability to make decisions and support those decisions; work with senior team members on more complex inquiries.
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

Send and receive audit documents (e.g., letters of intent, medical records, audit findings, and appeals) to and from providers via email, fax, or mail
Review received audit documents to ensure completeness of the documents and request additional documents where documents received are incomplete or illegible
Download and save received audit documents to Optum’s imaging system
Make daily outbound calls to providers for audit documents not received
Create and send collection letters
Request audit fees from Account Payable when necessary
Respond to inquiries from auditors, operations team and other teams as needed
Update Optum system with any notes and required action codes
Other duties as assigned