Accounts Receivables Representative – Remote in Las Vegas, NV

Requisition Number: 2259807
Job Category: Billing
Primary Location: Las Vegas, NV, US

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
  
The Accounts Receivables Representative position is responsible to process charge entries both manual and electronic. Review encounters, benefits and eligibility and document batching.
  
This position is full time Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30 am-5pm Mon-Thursdays & 7:30-11:30 am PST on Fridays, it may be necessary, given the business need, to work occasional overtime. Our office is located at 2716 N Tenaya Way.
  
This will be on the job training and the hours during the training will be aligned on your schedule.
  
If you are located within commutable distance to the office at  2716 N Tenaya Way, you will have the flexibility to work remotely* as you take on some tough challenges. . 
  
  
Primary Responsibilities:
  • Review encounters, adjusts charge tasks, manages charge edits, and make charge corrections.
  • Processes work files, corrects result charges and submits late charges.
  • Responsible for editing and correcting insurance FSC, checking the CPT and ICD- 10 codes, verify office visit type, verify that correct modifier is listed and follow up.
  • Workflow covers Adult Medicine, Pediatrics, and Specialties
  • Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing function.
  • Resolve most questions and problems and refers only the most complex issues to higher levels.
  • Review anesthesia charges to verify the benefits and eligibility, post charges, and monitor the email box.
  
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 education or GED
  • Must be 18+ yrs of age or older
  • A/R Medical Billing experience including Claims Status, claim appeals/reconsiderations, charge entry, payment entry and AR follow-up.
  • Experience with and understanding of ICD10 and CPT coding – including modifiers.
  • Experience with computers including Windows based programs and Microsoft Outlook, Word, Excel and Teams
  • Ability to work full time Monday – Friday. Employees are required to have flexibility to work any of our 8- hour shift during our business hours of 7:30 am – 5:00 pm Monday to Thursday and 7:30 am – 11:00 am, Fridays. it may be necessary, given the business need to work occasional overtime.

  

Preferred Qualifications:
  • Medicare and/or Medicaid billing experience
  • 1+ yr of experience in A/R Medical Billing experience including Claims Status, claim appeals/reconsiderations, charge entry, payment entry and AR follow-up.  

  

Telecommuting Requirements:
  • Reside within commutable distance within 2716 N Tenaya Way
  • 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.

   

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy  
  
  
The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
  
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.
  
 
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 

Additional Job Detail Information

Requisition Number 2259807

Business Segment Optum

Employee Status Regular

Job Level Individual Contributor

Travel No

Country: US

Overtime Status Non-exempt

Schedule Full-time

Shift Day Job

Telecommuter Position No

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