Optum ยท 23 hours ago
Billing Representative
United States
Full-time
Remote
Entry Level
$17.98/hr - $32.12/hr
1+ years expOptum is a part of UnitedHealth Group, focused on improving the flow of health data and information. The Billing Representative is responsible for accurate and timely billing of UB-04 claims for acute hospital services, ensuring compliance with regulations and resolving claim discrepancies.
EducationHealth CareMedicalPharmaceutical
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 CMS guidelines, Medicare regulations, 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
Qualification
Required
High School Diploma / GED
Must be 18 years of age OR older
1+ year of Medicare (Part A & Part B) billing experience
1+ year of experience with UB-04 hospital (acute) billing
Revenue Cycle experience
Experience with Microsoft Office tools including Microsoft Word (creating and writing memos), Microsoft Excel (creating, filtering, and navigating reports in spreadsheets), and Microsoft Outlook (setting calendar appointments and emails)
Ability to work Monday - Friday, 6:00am - 2:30pm PST
Preferred
Billing OR collections experience and understands multiple billing requirements across different payors
Ability to use remote meeting / learning applications including instant messaging and video conferencing
DDE Experience (Medicare system)
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase