Optum Looking for Accounts Receivable Clerk at Philadelphia, PA  Full Time

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

The Accounts Receivable Clerk is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability, and includes the ability to interpret and rectify denials. Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits, and rejection reports. Ability to research and resolve accounts appearing on Delinquent Insurance Report for all payors as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement. Follow-up of all outstanding A/R payers, including commercial payers, auto and other liability payers and workers compensation payers.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Meet productivity and quality standards as outlined in client metrics
• Identify any issues or trends and bring them to the attention of management team
• Work on special projects as assigned
• Other duties as assigned

Competencies:

• Knowledge of the A/R Process
• Ability to meet position metrics goals (KPIs)
• Strong written and verbal communication skills

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 higher) OR 2+ years of experience working in a healthcare setting or hospital
• 1+ year of experience working in a healthcare setting or hospital
• 1+ year of accounts receivable experience with insurance billing, processing and follow up, using payor portals (governmental, commercial, Medicare or Medicaid)
• 1+ year of experience reading and understanding explanation of benefits (EOB)
• 1+ year of experience with insurance plans and coordination of benefits
• Intermediate level of proficiency with Microsoft Outlook, Word and Teams

Soft Skills:

• Ability to navigate payer portals and internet applications
• Organized, detail oriented, ability to multi-task, and able to work 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, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $18.80 to $36.78. 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 #green