Accounts Receivables Clerk - Specialty Clinics

UnitedHealth Group•Las Vegas, NV

2d•$18 - $32•Remote

About The Position

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.

Requirements

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
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.
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.

Nice To Haves

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

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