Payment Applications Specialist - Cuyahoga Falls, OH
Company: Optum
Location: Cuyahoga Falls
Posted on: May 26, 2025
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Job Description:
Unity Health Network, part of the Optum family of businesses, is
seeking a Payment Applications Specialist to join our team in
Cuyahoga Falls, OH. Optum is a clinician-led care organization that
is changing the way clinicians work and live.
As a member of the Optum Care Delivery team, you'll be an integral
part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a
global organization behind you so you can help your patients live
healthier lives. Here, you'll work alongside talented peers in a
collaborative environment that is guided by diversity and inclusion
while driving towards the Quadruple Aim. We believe you deserve an
exceptional career, and will empower you to live your best life at
work and at home. Experience the fulfillment of advancing the
health of your community with the excitement of contributing new
practice ideas and initiatives that could help improve care for
millions of patients across the country. Because together, we have
the power to make health care better for everyone. Join us and
discover how rewarding medicine can be while Caring. Connecting.
Growing together.
This position has responsibilities for patient accounts, accurate
payment posting, and denial management; and customer service
functions for premiere Medical Resources, under the supervision of
the Supervisor, Patient Financial Services.
This position is full time, Monday - Friday. Employees are required
to have flexibility to work any of our 8-hour shift schedules
during our normal business hours of 8:00am - 5:00pm. It may be
necessary, given the business need, to work occasional overtime.
Employees are required to work some days onsite and some days from
home.
We offer 2 weeks of on-the-job training. The hours during training
will be 8:00am to 5:00pm CST, Monday - Friday. -
If you are within commutable distance to the office at 2750 FRONT
ST, Cuyahoga Falls, - OH, you will have the flexibility to work
from home and the office in this hybrid role* as you take on some
tough challenges.
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Primary Responsibilities:
Posts patient and insurance payments to the correct account within
the prescribed timeframe with a 95% or higher accuracy rate.
Analyzes and follows up on accounts where underpayments or
non-payments have occurred. This includes but is not limited
to:
Underpayments or "short-pays" from insurance companies.
Denials or non-covered service adjustments from insurance
companies
Following up with insurance companies when payment has not been
received within the Prompt Pay Law guidelines, or as otherwise
specified contractually.
Correcting and rebilling COB/no coverage denials
Analyzes and resolves accounts on which overpayments have occurred;
processes paperwork if needed so refund is issued to appropriate
denials.
Responds to patient, physician and insurance company inquiries
regarding various accounts.
Maintains working knowledge of industry rules, regulations,
policies and laws, including but not limited to: Ohio Prompt Pay,
HIPAA, CMS and Medicaid guidelines.
Note: The above stated duties are intended to outline those
functions typically performed by the incumbent in this position.
This description of duties is not intended to be all-inclusive nor
to limit the discretionary authority of supervisors to assign
additional tasks of a similar nature or level of
responsibility.
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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 OR equivalent work experience
Must be 18 years of age OR older
1+ years of related experience, including billing in a physician
office or billing company environment
General computer literacy
General clerical skills and attention to detail are essential
Communication skills
Must be able to work under pressure and meet deadlines
Proficiency with keyboard and 10 key adding machine
Ability to work full time, Monday - Friday. Employees are required
to have flexibility to work any of our 8-hour shift schedules
during our normal business hours of 8:00am - 5:00pm. It may be
necessary, given the business need, to work occasional overtime.
Employees are required to work some days onsite and some days from
home.
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Telecommuting Requirements:
Reside within commutable distance to the office at 2750 FRONT ST,
Cuyahoga Falls, - OH
Ability to keep all company sensitive documents secure (if
applicable)
Required to have a dedicated work area established that is
separated from other living areas and provides information
privacy.
Must live in a location that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing
high-speed internet service.
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Soft Skills:
The incumbent will have the ability to effectively interact with
populations of the patient (and his or her representative) with a
sensitivity to the communication needs (other language, deaf or
blind) and with an understanding of their needs for self-respect
and dignity.
Committed to providing exceptional service to patients, visitors
and internal/external contacts. Strives to provide the highest
level of patient satisfaction with each interaction. Committed to
treating co-workers' with respect and dignity. Ensures a
consistently positive experience for all patients, employees and
visitors.
Adheres to the hospital attendance policy and will make every
effort to consistently be punctual when reporting to work and
during daily activities.
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*All employees working remotely will be required to adhere to
UnitedHealth Group's Telecommuter Policy---
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The hourly range for this role is $16.88 to $33.22 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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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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UnitedHealth Group 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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UnitedHealth Group 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 , Payment Applications Specialist - Cuyahoga Falls, OH, Other , Cuyahoga Falls, Ohio
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