Lead Accounts Receivables Clerk – Las Vegas, NV

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.

Overseeing AR for commercial side, Being SME along Supervisor. Act as resource for team members. Part of a 22 member team. Weekly team meetings. Monthly team meetings. Payor portals, EPIC are systems most often used to do their role.

This position is full-time. Employees are required to work our normal business hours of 8:00am – 5:00pm PST, Monday to Friday. It may be necessary, given the business need, to work occasional overtime. Employees are required to work 3 days onsite and 2 days from home.

This will be on-the-job training. The hours during training will be 8:00am – 5:00pm PST, Monday – Friday.

If you are within commutable distance to the office at 2716 N Tenaya Way Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

 

Primary Responsibilities:

• SME for multiple processes in the business unit
• Reporting at the direction of Supervisor
• Workflows/Changes/Assignment distribution
• Works with operation and IT on issue resolution related to PM system, data issues, incorrect information, and collaborate on resolutions of these items
• Pulse check: report out to Supervisor on updates
• Conducts staff assignment review weekly: challenges and progress
• Ensure reports and operational tasks are completed within stated deadlines and follow set policies and procedures
• Completes write-off approvals up to $250
• Provide input to policies, systems, methods, and procedures for the effective management and control of the daily claims process and billing function
• Monitor outstanding claims and take appropriate actions to ensure insurance claims are processed out to all insurance Assist in team questions on claim issue from rejections, failed and daily validation of claims and training
• Will also include quality assurance and audit of claims activities
• Resolve most questions and problems, and refers only the most complex issues to higher levels
• Project Management
• Additional items/duties may be requested as needed; appropriate training will be provided

 

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 equivalent work experience
• Must be 18 years of age OR Older
• 3+ years of Medical Billing experience including claim status, claim appeals/reconsiderations, payment processing/explanation of EOB’s
• Experienced with training employees
• Solid reporting skills – able to generate, analyze large batches of data in Excel
• Proficient in both ICD-10 and CPT coding – including modifiers
• Solid Data Entry including 10-Key by touch
• Basic computer skills with MS Office: Outlook, Word and Excel
• Ability to work our normal business hours of 8:00am – 5:00pm PST, Monday to Friday. It may be necessary, given the business need, to work occasional overtime

 

Preferred Qualifications:

• Commercial payors and Medicare Advantage billing experience
• Experience with EMR/EHR system (EPIC)

 

Telecommuting Requirements:

• Reside within commutable distance to the office at 2716 N Tenaya Way Las Vegas, NV
• 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:

• Proven excellent problem-solving skills
• Proven excellent oral and written communication skills

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

The hourly range for this role is $23.70 to $46.35 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.

 

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.

 

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