Role Description
As the Accounts Receivables Specialist, you will prepare and process medical insurance claims and are responsible for the resolution of any balances that remain for outstanding medical claims. This is accomplished by follow up via phone, website, or written correspondence with both internal and external stakeholders.
Youβll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
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Efficiency
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Reviews medical insurance claims to ensure that revenue recognition is accurate.
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Creates and processes claims submission for various payers in a timely manner per payer guidelines.
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Promptly reviews accounts receivable, daily, and performs follow-up on delinquent accounts according to established policies and procedures. Recommends departmental/agency corrective action as required.
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Conducts analysis of denials and partial payments to determine trends that may need to be addressed either in revenue cycle management, operationally, or with the payer.
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Quality
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Conducts thorough research of claim status to identify issues, documents action taken on the claim and implements corrective measures to obtain payment and ensure accuracy of future claim submissions.
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Receives, investigates, and responds to inquiries from payors and/or agencies concerning accounts receivable activity according to established policies and procedures on a regular basis.
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Maintains and develops accounts receivable issues and resolution tracking for ease of reporting.
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Works in coordination with service locations to obtain information needed for clean claim submission and additional follow-up documentation as needed.
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People
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Communicates effectively with leadership, teammates, operations and customers.
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Expediently resolves all customer requests, inquiries, and concerns.
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Ability to work collaboratively in a continuously changing environment with a spirit of cooperation and professionalism.
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Problem solves independently before referring issues to the Supervisor/Manager for resolution.
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Service
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Meets work schedule and attendance expectations.
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Performs similar, comparable, or related duties as may be required or assigned.
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Completes special projects and other assignments, as deemed necessary.
Youβll 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.
Qualifications
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Demonstrated solid computer skills with Microsoft Office knowledge and experience.
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Proven excellent customer service and written/verbal communication skills.
Requirements
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1+ years of medical billing and collections experience.
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Revenue cycle experience.
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Demonstrated ability to work in a fast-paced, continuously changing environment.
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*All employees working remotely will be required to adhere to UnitedHealth Groupβs Telecommuter Policy.
Benefits
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A comprehensive benefits package.
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Incentive and recognition programs.
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Equity stock purchase.
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401k contribution (all benefits are subject to eligibility requirements).
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The hourly pay for this role will range from $14.00 to $23.90 per hour based on full-time employment.
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.