Job Description

This position is Remote in PST, AZT and MST. You will have the flexibility to work remotely* as you take on some tough challenges.

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. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Accounts Receivable Clerk is responsible for the validation of charge data received from the clinic settings, creation and submission of complete and accurate claims, follow-up on claims status, payment accuracy, appeals and correspondence.

This position is full-time, Monday - Friday. Employees are required to work during our normal business hours of 8:00am - 4:30pm PST. It may be necessary, given the business need, to work occasional overtime.

We offer 2 weeks of paid training. The hours during training will be 8:00am - 4:30pm PST, Monday - Friday. Training will be conducted virtually from your home.

Primary Responsibilities:

• Follow-up on claims status and unpaid encounters using payer portals, contacting insurance plans at specific intervals to ensure claims are paid timely and accurately
• Submitted corrected claims, reconsiderations and appeals via payer portals or paper as required
• Respond to insurance correspondence received by various methods such as fax, mail, email
• Contact clinics, coding and other resources to assist with denials related to medical necessity, eligibility, authorizations and diagnosis
• Submitted appeals for payments according to payer requirements
• Contact patients as appropriate to obtain information needed to update insurance information or provide information regarding coverage issues and coordination of benefits
• Review encounters for payment demand letters and process bad debt files as appropriate
• Complete address updates from electronic update files

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 experience
• Must be 18 years of age OR older
• 1+ years of medical billing experience including Claims Status, claim appeals / reconsiderations, charge entry, payment entry or AR follow-up
• Working experience as an Accounts Receivable Clerk, Medical Biller, Insurance Follow-Up Representative, Accounts Receivable Manager, or accountant
• Experience with and understanding of ICD10 and CPT coding - including modifiers
• Experience with computers including Windows based programs including Microsoft Outlook, Microsoft Word, and Microsoft Excel
• Understanding of collections processes, reimbursement methodologies, state and federal guidelines for compliant billing practices
• Data entry skills
• Ability to work Monday - Friday, during our normal business hours of 8:00am - 4:30pm PST, including the flexibility to work occasional overtime, based on the business need

Preferred Qualifications:

• Medicare and/or Medicaid billing experience
• Experience with Commercial insurance billing
• Epic experience
• Experience using electronic claims editing systems and clearinghouse
• Understanding of requirements for billing procedures, drugs, drug waste and office-based labs
• Familiarity with medical terminology

Telecommuting Requirements:

• Reside within Pacific Time zone, Arizona Time zone and Mountain Time zone.
• 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.

Soft Skills:

• Ability to recognize and understand 1500 form data elements, EOB reason codes, remarks codes and claims edits as well as NCDs and LCDs
• Verbal and written communications skills to communicate with providers, payers and others in a clear and professional manner
• Accuracy and attention to detail
• Ability to calculate expected reimbursement, co-pays and deductibles

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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