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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work. SM
As an Accounts Receivable Specialist , you will follow up outstanding A/R all payers and/or including self pay and including resolution of denials. You will handle all correspondence related to an insurance or patient account, contact insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities :
- Research and re-bill unpaid claims
- Research and resolve accounts appearing on Follow-up Reports
- Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked
- Correct all errors on electronic error reports using all available information
- Meet current production, utilization and quality standards
- Assists in identifying current and/or potential billing issues specific to outstanding receivable
- May participate in trainings/meetings with Payers, internal departments, offshore partners, Client contact(s) and TES Management, etc. to address trends in denials or unprocessed claims
- Presenting data to appropriate parties and partnering to develop resolutions
- Participates in daily production assignments that will continue to develop understanding and knowledge of processing guidelines and expectations of respective client(s) payer mix
- Ability to take patient phone calls and assist Customer Service when business needs arise
- Must maintain patient/client confidentiality
- Assist in other duties as assigned
Required Qualifications:
- High School Diploma/GED (or higher) OR 3+ years of Accounts Receivable Follow Up experience
- 2+ years of customer service experience
- 2+ years of data entry experience
- 1+ year of Accounts Receivable Follow Up experience
- Beginner proficiency of MS Excel, MS Word and MS Outlook
Preferred Qualifications:
- System knowledge
- Medical billing and coding certification
- Access to carrier portals
Soft Skills:
- Possess analytical and problem solving skills
- Strong written and oral communication skills
- Represents the office/Organization in a positive manner; supports and encourages strong morale and spirit in his/her team.
- Works well with others
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
California, Colorado, Connecticut, Nevada, New York, Washington or Rhode Island Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, Washington or New York City residents is $16.00 to $31.44. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #Yellow
randomorbitinc.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, randomorbitinc.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, randomorbitinc.com is the ideal place to find your next job.