Lead Billing Representative - Cuyahoga Falls, OH
Company: Optum
Location: Cuyahoga Falls
Posted on: May 12, 2025
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Job Description:
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together.
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As the -Senior Billing Representative Group Lead -for Unity Health
Network - an Optum Care Delivery Organization, you'll play a
critical role in creating a quality experience that impacts the
financial well-being of our patients. In an environment where the
patient is at the center of everything we do, the Senior Billing
Representative, Group Lead will assist the Department Supervisors
by performing combinations of the following activities:
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Coordinate and maintain workflows
Perform Senior Billing Representative work duties
Handle escalated issues with both internal and external customers,
and within the department.
Provide training to new and seasoned employees, provide performance
input.
The Senior Billing Representative Lead is a direct point of contact
for employees in providing coaching, training, and constructive
feedback as well as leadership. If selected for this position, it
is required that you successfully complete the UnitedHealth Group
new hire training and demonstrate proficiency to continue in the
role
This position is full-time (40 hours/week) Monday - Friday.
Employees are required to work any of our 8-hour shift schedules
during our normal business hours of 7:00am - 5:00pm EST.
It may be necessary, given the business need, to work occasional
overtime. Our office is located at Unity Health -Network. 2750
-Front Street -Cuyahoga Falls OH 44221
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We offer weeks of on-the-job training. The hours of the training
will be based on schedule or will be discussed on your first day of
employment.
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Primary Responsibilities:
Performs all tasks of a Senior Billing Representative or a Senior
Patient Financial Services Representative.
Based on department needs, monitors some of the following: back end
operations or functions, front end operations or functions,
production tracking, and coverage as needed for patient phone
calls, payment posting and aging reports.
Trains employees and completes other trainings throughout the
year.
Communicates with superiors, peers, employees, internal and
external customers, and others, as appropriate, on regular basis,
assuring proper flow of information.
Assists in documenting standard operating procedures and business
rules for the department.
Assists in resolving problems relating to all areas of
Patient/Third Party billings and missing information.
Develops recommendations for action plans based on production and
quality issues.
Responds to patient complaints and escalated issues to assure the
appropriate action for resolution occurs.
Provides input and guidance to staff members in order to ensure
continuous improvement in processes.
Facilitates individual and small group meetings.
Maintains current knowledge of billing requirements and system
practices.
Maintains working knowledge of industry rules, regulations,
policies and laws, including but not limited to: Ohio Prompt Pay,
HIPAA, CMS and Medicaid guidelines.
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You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in.Required
Qualifications:
High School Diploma / GED
Must be 18 years of age OR older
3+ years of experience with accounts receivable in Multi-Specialty
(ex. Adult Medicine, OBGYN, Pediatrics, Cardiology, Pain
Management, Urgent Care)
3+ years of experience with claims processing or claims
appeals/reconsiderations
Medical terminology knowledge
Basic computer skills (i.e., Microsoft office & Microsoft Excel
proficiency)
Experience with and understanding of ICD10 and CPT coding -
including modifiers
Experience escalating/resolving high priority issues with insurance
companies
Ability to review and understand the explanation of benefits
Ability to type at the speed of 45 WPM (words per minute)
Ability to work onsite at Unity Health -Network. 2750 -Front Street
-Cuyahoga Falls OH 44221
Ability to work any 8-hour shifts between 7:00am - 5:00pm EST from
Monday - Friday including the flexibility to work occasional
overtime.
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Preferred Qualification:
1+ years of leadership experience -
Advanced working knowledge / expertise in eCW Billing system
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Soft Skills:
Ability to resolve calls, avoiding escalated complaints
Ability to exhibit empathy and be courteous to callers
Ability to triage and handle escalated situations
Ability to work in a fast-paced environment
Ability to adapt to changes
Ability to develop and maintain client relationships
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The hourly range for this role is $19.86 to $38.85 per hour based
on full-time employment. Pay is based on several factors including
but not limited to local labor markets, education, work experience,
certifications, etc. UnitedHealth Group complies with all minimum
wage laws as applicable. In addition to your salary, UnitedHealth
Group offers benefits such as a comprehensive benefits package,
incentive and recognition programs, equity stock purchase and 401k
contribution (all benefits are subject to eligibility
requirements). No matter where or when you begin a career with
UnitedHealth Group, you'll find a far-reaching choice of benefits
and incentives.
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Application Deadline: This will be posted for a minimum of 2
business days or until a sufficient candidate pool has been
collected. Job posting may come down early due to volume of
applicants.
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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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Optum Care is an Equal Employment Opportunity employer under
applicable law and qualified applicants will receive consideration
for employment without regard to race, national origin, religion,
age, color, sex, sexual orientation, gender identity, disability,
or protected veteran status, or any other characteristic protected
by local, state, or federal laws, rules, or regulations.
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OptumCare is a drug - free workplace. Candidates are required to
pass a drug test before beginning employment.
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#RPO #RED
Keywords: Optum, Warren , Lead Billing Representative - Cuyahoga Falls, OH, Accounting, Auditing , Cuyahoga Falls, Ohio
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