Account Receivable Clerk - Johnston, RI

Company: UnitedHealth Group ( Learn More )

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Job Description Position Description:Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.
Primary Responsibilities:

  • Responsible for the accurate processing and completion of medical claims.

  • Process claims that route out of automatic adjudication, within current turnaround standards.

  • Proficiency in product lines applicable to processing unit.

  • Understand and apply plan concepts to include: Deductible, co-insurance, co-pay, and State variations

  • Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits.

  • Process correspondence and requests for reconsideration within time service standards.

  • Use pre-approved electronic letters as well as handwritten letters to communicate with customers, providers, attorneys, regulators and other external entities.

  • Adhere to quality improvement initiatives.

  • Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards.

  • Special projects as required.

  • Required Qualifications:

  • High School Diploma / GED

  • Ability to create and edit professional documents in Microsoft Word

  • Ability to input data and review spreadsheets in Microsoft Excel

  • Ability to review and create professional emails in Microsoft Outlook

  • Previous medical billing experience or successful completion of a certified medical billing program

  • Working knowledge of insurance carrier policies and procedures is required

  • Hours of operation are Monday - Friday; 8:00 am - 4:30 pm with some flexibility

  • Ability to work overtime as business needs arise

  • Preferred Qualifications:

  • Previous experience working in an Accounts Receivable department

  • Physical Requirements and Work Environment:

  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer

  • Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity

  • Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work.

    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.Keywords: Johnston, RI; Billing; Medical; Medical Billing; UHG; Optum; Insurance; Insurance Carriers
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