Lead Business Services Representative II

Company: Optum
Location: Everett
Posted on: August 5, 2022

Job Description:

$1500 sign on bonus for eligible new hires The Business Services department is seeking a Lead Business Services Representative II to join their team full time located in Everett, WA. The Lead Business Services Representative II functions as an integral member of the team and is responsible to ensure services provided to Everett Clinic patients are fully and correctly reimbursed by third-party carriers and patients in a timely manner, including the handling of paper and electronic correspondence and payments received for revenue cycle management. Focus on customer service when working with patients, clinical departments and carriers to ensure service questions and charge disputes are handled promptly and professionally. Demonstrate proficiency in job category skills through training, audit and certification to standard work. Flexible regarding work assignment based on certified skills and job categories to meet customer demand. The Lead Business Services Representative II is responsible for and not limited to:

• Payment Entry
• Follow Up/Appeals
• Quality Assurance
• Customer Service
• Patient Credit & Collections and Special Account Work
• Payment and Cashiering Processing
• Registration and Appointment Scheduling
• Claim Edit Work Queues and Paper Bills Lead Responsibilities:
  • Coordinates Daily Management for work teams including visibility board updates, productivity stats, level loading assigned tasks to demand, and distributing pull system assignments.
  • Oversees and directs daily work for work group/area; coordinates and provides training, audits, and Standard Work updates. Is basic skills certified and assists staff with certification goals and is encouraged to reach Tier 2 certification.
  • Serves as a role model in meeting and exceeding stats, attendance, punctuality and professionalism. Is a leader and resource person within the department and is flexible with their work schedule, including working weekends as need arises. Subject matter expert in work skills for their group. Preferred Experience and Credentials:Knowledge: Working knowledge of CPT & Diagnosis Coding, Medical Terminology, and basic Anatomy.Skills: Excellent interpersonal and team skills. Good Computer skills, minimum typing skill of 40 wpm.Abilities: Must have ability to work effectively to meet deadlines and assist others to do the same. Be c ompetent in written and verbal communication. Have the demonstrated ability to work effectively with staff, patients, community, and external agencies. Education: High School Diploma/GED (preferred) or equivalent experience.Experience: Prior customer service, call center, or billing experience preferred.Certificate/License: None required, Certification in basic job category and one skill competency category expected after 6 months of job placement (including training, audit and certification). CPC Certification preferred. Interested in learning more? Let s talk about our opportunities and your career growth! Other Requirements:
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements.
    • UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance.
    • Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Keywords: Optum, Everett , Lead Business Services Representative II, Sales , Everett, Washington