Senior Medical Billing & Coder Follow Up Representative
Fremont, CA, USA
Information Technology (IT)
What We'll Bring: Protecting the health and wellness of our associates and candidates considering a career at TransUnion is our highest priority. In supporting this vision, our recruitment and new hire experience for this role is fully virtual for the time being. Candidates interviewing will get to know our team over the phone and video, and this role will operate virtually upon hire until we return to the office. Even though we're not physically together right now, our goal is to provide you a supportive candidate and new hire experience that will immerse you in our culture and set you up for success at TransUnion.
What You'll Bring:
Experience in healthcare billing and follow-up, including appealing denials and underpayments from insurance payers
Must be familiar with UBO4 data elements
Basic understanding of the healthcare revenue cycle
Problem solving and analytical skills
Organizational skills and detail-orientation
We'd love to see:
Experience working in healthcare billing systems
Possession of billing or medical coding certification preferred
Revenue cycle experience preferred with familiarity in using Healthcare Information Systems like EPIC, Paragon, Zirmed and/or other billing systems
Basic MS Office experience to include Word, Excel and Outlook
Strong written and verbal skills
Demonstrated ability to work well in a team environment
Impact You'll Make:
Expectations in the first 90 days: You will become familiar with TransUnion's product platforms as well as the policies and procedures of the providers specific to the projects you will work on
What you'll accomplish beyond 90 days: Review output from our proprietary revenue cycle platform to verify correct eligibility and payment information for small to mid-balance accounts
Analyze contract, billing, cash costing, pricing, and collections on accounts in compliance with billing regulations, policies and procedures
Investigate all insurance payments that deviate from expected payment
Call healthcare insurance companies, their affiliates & providers to resolve any question about contract or payment issues
Document next steps in proprietary workflow system or hospital billing application for recovery of correct payment
Meet or exceed production, quality and accuracy standards while ensuring privacy and documentation procedures are maintained
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability status, veteran status, marital status, citizenship status, sexual orientation, gender identity or any other characteristic protected by law.
TransUnion's Internal Job Title: Rep III, Business Operations
Information is a powerful thing, and we believe in using Information for Good. And the right information—analyzed by experienced people—can help all of us learn from the past, navigate the present and predict the future.
We operate with the belief that information can help advance our industry, facilitate commerce and ultimately increase the standard of living for consumers around the world. Because when businesses and consumers have access to more complete and multidimensional information, they can make more informed decisions and achieve great things.