[Hiring] Accounts Receivables Clerk @UnitedHealth Group

Role 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.

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.

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.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).
• The hourly pay for this role will range from $18 - $32 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.