[Remote] Billing Representative

Note: The job is a remote job and is open to candidates in USA. Optum is a part of the UnitedHealth Group family, focused on improving health data flow and creating a more connected healthcare system. The Billing Representative is responsible for accurate and timely billing of UB-04 claims for acute hospital services, collaborating with internal teams and hospital facilities to resolve billing issues and ensure compliance with regulations.

Responsibilities

• Prepare, review, and submit UB-04 claims for acute inpatient and outpatient hospital services
• Review and resolve claim edits by sending and responding to tasks in accordance with established processes
• Work directly with hospital facilities to obtain required documentation, clarify billing issues, and resolve discrepancies
• Follow detailed billing matrices, payer-specific instructions, and internal workflows
• Ensure all billing activities remain compliant with payer guidelines and internal compliance standards
• Identify and correct billing errors prior to claim submission to prevent denials
• Assist with claim follow-up, rebilling, and correction requests as needed
• Document all account activity clearly and accurately in billing systems
• Collaborate effectively with team members to meet department goals and deadlines
• Maintain productivity and accuracy standards in a high-volume acute care environment

Skills

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of hospital billing experience
• Working knowledge of medical terminology
• Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
• Ability to work Monday - Friday, 7:00am - 3:30pm PST
• Experience with UB-04 billing
• Residing within PST time zone
• Experience with Federal or State billing

Benefits

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Company Overview

Company H1B Sponsorship