Accounts Receivable Clerk - National Remote
Job title: Accounts Receivable Clerk - National Remote in Plymouth, MN at UnitedHealth Group
Company: UnitedHealth Group
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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.As the Accounts Receivable Clerk you’ll play a critical role in creating a quality experience that impacts the financial well-being of our patients. In an environment where the patient is at the center of everything we do, the Accounts Receivable Clerk play an important role on a team that supports the Accounts Receivable department by performing combinations activities. The Accounts Receivable Clerk will be required to successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role.This position is full-time (40 hours/week) Monday to Friday. It may be necessary, given the business need, to work occasional overtime or weekends.You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
• Contact payers by telephone, fax, email, or letter to determine coordination of benefits, contractual, patient and government responsibilities as necessary to have the credit balance reach resolution
• Interpret complex contractual language to complete special projects according to contractual agreements, Medicare, or governmental regulations
• Cultivate effective working relationships with other departments within the RCM team to facilitate the resolution of accounts with credit balances
• Determine if accounts are paid correctly according to contractual agreements or governmental reimbursement methodologies
• Remain current on general regulatory and contractual requirements involving self-studies of payer bulletins and contracts through updates from the supervisor
• Requires contractual knowledge across multiple payer groups
• To support, enhance, and retain maximum cash reimbursement in accordance with contractual agreements
• Maintain positive relationships with patient, insurance companies and other payers to facilitate resolution of credit balance accounts
• Provide direction and guidance to less experienced team members
• Work from monthly reports reflecting highest dollars and oldest accounts to target and resolve priority accounts
• Resolve billing, collections, customer service requests, and reimbursement questions involving credit balance accounts
• Research and process requests from insurance companies requesting a refund on credit, debit or zero balance accounts
• Identify reoccurring problems, errors, and issues for inclusion on the issue log. Escalate problem accounts to Leadership when appropriate intervention is required
• To meet or exceed productivity and audit standards that has been established according to department requirements
• Follow established departmental policies, procedures, and objectives
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:
• 2+ years of experience in insurance billing
• 2+ years of experience in patient, client, or third-party insurance billing
• 2+ years of experience in Auditing
• Basic level of proficiency with Windows PC applications, which includes solid keyboard and navigation skills and ability to learn new computer programs
• Exceptional time management skills
• Solid organizational skills
• Proven ability to multi-task and collaborate with others
• Demonstrated ability to prioritize workflow
• Proven ability to adapt to changes
• Demonstrated ability to communicate using tools such as Outlook and Teams chat
Preferred Qualifications:
• Work experience in a fast-paced environment requiring solid multi-tasking and problem-solving skills
Company: UnitedHealth Group
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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.As the Accounts Receivable Clerk you’ll play a critical role in creating a quality experience that impacts the financial well-being of our patients. In an environment where the patient is at the center of everything we do, the Accounts Receivable Clerk play an important role on a team that supports the Accounts Receivable department by performing combinations activities. The Accounts Receivable Clerk will be required to successfully complete the UnitedHealth Group new hire training and demonstrate proficiency to continue in the role.This position is full-time (40 hours/week) Monday to Friday. It may be necessary, given the business need, to work occasional overtime or weekends.You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
• Contact payers by telephone, fax, email, or letter to determine coordination of benefits, contractual, patient and government responsibilities as necessary to have the credit balance reach resolution
• Interpret complex contractual language to complete special projects according to contractual agreements, Medicare, or governmental regulations
• Cultivate effective working relationships with other departments within the RCM team to facilitate the resolution of accounts with credit balances
• Determine if accounts are paid correctly according to contractual agreements or governmental reimbursement methodologies
• Remain current on general regulatory and contractual requirements involving self-studies of payer bulletins and contracts through updates from the supervisor
• Requires contractual knowledge across multiple payer groups
• To support, enhance, and retain maximum cash reimbursement in accordance with contractual agreements
• Maintain positive relationships with patient, insurance companies and other payers to facilitate resolution of credit balance accounts
• Provide direction and guidance to less experienced team members
• Work from monthly reports reflecting highest dollars and oldest accounts to target and resolve priority accounts
• Resolve billing, collections, customer service requests, and reimbursement questions involving credit balance accounts
• Research and process requests from insurance companies requesting a refund on credit, debit or zero balance accounts
• Identify reoccurring problems, errors, and issues for inclusion on the issue log. Escalate problem accounts to Leadership when appropriate intervention is required
• To meet or exceed productivity and audit standards that has been established according to department requirements
• Follow established departmental policies, procedures, and objectives
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:
• 2+ years of experience in insurance billing
• 2+ years of experience in patient, client, or third-party insurance billing
• 2+ years of experience in Auditing
• Basic level of proficiency with Windows PC applications, which includes solid keyboard and navigation skills and ability to learn new computer programs
• Exceptional time management skills
• Solid organizational skills
• Proven ability to multi-task and collaborate with others
• Demonstrated ability to prioritize workflow
• Proven ability to adapt to changes
• Demonstrated ability to communicate using tools such as Outlook and Teams chat
Preferred Qualifications:
• Work experience in a fast-paced environment requiring solid multi-tasking and problem-solving skills