Primary Responsibilities:
Accurate posting and completion of Patient/Payer remits/Lockboxes/EOB, etc on CPR+
Be able to analyze EOBs at a claim level in addition they should find trends impacting dollar and #’s, leading to process improvements
Reconcile payments from the bank to accounts balances in Infusion Cash platform
Analyze and trend data, recommending solutions to improve FTR to reduce age of overall cash received for Infusion Cash
Develop relationships with payers to obtain remits and resolve root causes
Assure that timely and accurate follow up if performed on any remittance issues
Identify issues/trends and escalate to Supervisor / Manager when assistance is needed
Provide exceptional Customer service to internal and external customers
Work with onshore partners to ensure that reconciliations are complete and accurate
Develop relationships with other departments to provide feedback about root cause issues
Adhere to Regulatory / Payer Guidelines and policies & procedures
Other duties as assigned
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
Any Graduate
Experience in gathering support data to ensure invoice accuracy and work through specific billing discrepancies
Experience with Windows personal computer applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
Good knowledge on Revenue Cycle Management and Health care
Preferred Qualifications:
Experience in RCM /Cash Posting
Ability to work a full-time (40 hours/week) Monday – Sunday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 3:30PM to – 3:30AM IST
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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