Optum · 12 hours ago
Billing Representative
United States
Full-time
Remote
Entry Level
$17.98/hr - $32.12/hr
1+ years expOptum is a leading health care company that improves the flow of health data and information. The Billing Representative will play a critical role in creating a quality experience for patients by analyzing and resolving billing issues in a fast-paced environment.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Analyzes and applies denials to third party carriers in all media types
Complies with departmental Business Rules and Standard Operating Procedures
Focuses efforts on decreasing the Accounts Receivable, increasing cash, and/or reducing bad debt
Interprets explanation of benefits for appropriate follow up action
Utilizes automation tools to verify eligibility, claim status and/or to obtain better billing information
Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication
Reviews and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing
Communicates and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding
Conducts data entry and re-work for adjudication of claims
Works on various other projects as needed
Meets the performance goals established for the position in the areas of efficiency, accuracy, quality, patient and client satisfaction and attendance
Qualification
Required
High School Diploma / GED OR equivalent work experience
Must be 18 years OR older
1+ years of customer service or billing experience
Proficiency with Windows personal computer applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
Keyboard and navigation skills and ability to learn new computer programs
Experience working with Microsoft Excel (filtering, sorting, working within tables)
Reside within EST time zone
Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 3:30 pm EST (Flexibility). It may be necessary, given the business need, to work occasional overtime
Preferred
1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.), using phones and computers as the primary job tools
1+ years of experience in A/R, Billing, and Customer Service, Insurance, or Healthcare
Medical terminology acumen and experience
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