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Lead Billing Representative - Cuyahoga Falls, OH

Optum

Cuyahoga Falls, OH
9 days ago
$19.86 - $38.85

Job Description

Join Optum as a Lead Billing Representative to play a vital role in enhancing patient care and financial well-being. You will lead a team, manage workflows, train staff, and resolve billing issues, all while working in a supportive and inclusive environment. Make a significant impact while enjoying competitive pay and benefits.

Key Responsibilities

  • Coordinate and maintain workflows
  • Perform Lead Billing Representative duties
  • Handle escalated issues with internal and external customers
  • Provide training to new and seasoned employees
  • Communicate regularly with superiors, peers, and others
  • Document standard operating procedures and business rules
  • Assist in resolving problems related to Patient/Third Party billings
  • Develop recommendations for action plans based on production and quality issues
  • Respond to patient complaints and escalated issues
  • Facilitate individual and small group meetings
  • Maintain knowledge of billing requirements and system practices

Required Qualifications

  • High School Diploma / GED
  • Must be 18 years of age or older
  • 2+ years of experience with accounts receivable in Multi-Specialty
  • 2+ years of experience with claims processing or claims appeals/reconsiderations
  • Medical terminology knowledge
  • Basic computer skills (Microsoft Office & Excel proficiency)
  • Experience with 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
  • Ability to work onsite at Unity Health Network
  • Ability to work any 8-hour shifts between 7:00am - 5:00pm EST including occasional overtime

Preferred Qualifications

  • 1+ years of leadership experience
  • Advanced working knowledge / expertise in eCW Billing system

Benefits & Perks

Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution