[Remote] Billing Representative

Note: The job is a remote job and is open to candidates in USA. Optum is a part of the UnitedHealth Group family, focused on improving health data flow and creating a more connected healthcare system. The Billing Representative is responsible for accurate and timely billing of UB-04 claims for acute hospital services, collaborating with internal teams and hospital facilities to resolve billing issues and ensure compliance with regulations. Responsibilities Prepare, review, and submit UB-04 claims for acute inpatient and outpatient hospital services Review and resolve claim edits by sending and responding to tasks in accordance with established processes Work directly with hospital facilities to obtain required documentation, clarify billing issues, and resolve discrepancies Follow detailed billing matrices, payer-specific instructions, and internal workflows Ensure all billing activities remain compliant with payer guidelines and internal compliance standards Identify and correct billing errors prior to claim submission to prevent denials Assist with claim follow-up, rebilling, and correction requests as needed Document all account activity clearly and accurately in billing systems Collaborate effectively with team members to meet department goals and deadlines Maintain productivity and accuracy standards in a high-volume acute care environment Skills High School Diploma / GED Must be 18 years of age OR older 1+ years of hospital billing experience Working knowledge of medical terminology Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management) Ability to work Monday - Friday, 7:00am - 3:30pm PST Experience with UB-04 billing Residing within PST time zone Experience with Federal or State billing Benefits A comprehensive benefits package Incentive and recognition programs Equity stock purchase 401k contribution Company Overview Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group. It was founded in 2011, and is headquartered in Eden Prairie, Minnesota, USA, with a workforce of 10001+ employees. Its website is Company H1B Sponsorship Optum has a track record of offering H1B sponsorships, with 648 in 2025, 559 in 2024, 620 in 2023, 851 in 2022, 593 in 2021, 438 in 2020. Please note that this does not guarantee sponsorship for this specific role.