Accounts Receivable Specialist

Accounts Receivable Specialist

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.

The Accounts Receivable Specialist is responsible for front line relationship management and acts as client liaison during delivery of a professional services engagement or an outsourced solution. Strategically focused and responsible for client satisfaction, maintaining client communication, and the overall management of the client relationship. Works to grow the client relationship by identifying new business opportunities. Works with delivery team to execute on contract terms and conditions and to ensure on-time delivery of projects that support the client's business.

Primary Responsibilities:

• Works under the daily supervision of the Team Lead or Supervisor
• Effectively work with the client and staff to improve billing operations
• Assists/directs patients with questions ad inquiries
• Collect TOS payment and outstanding balances
• Validate insurance and other billing information
• Obtain precertification, authorizations and other referrals as assigned
• Accurately enters patient updates to the scheduling system
• Ability to review Medical Records
• Assist in identifying current and or potential billing issues specific to outstanding receivable
• Follow up on denied or unadjudicated encounters
• Assist in other duties assigned as they arise
• Protects/observes patient confidentiality per policies and procedures
• Accurately imports registration documents into patients' electronic health records
• Demonstrates knowledge of proper, safe, efficient usage of current office equipment/software
• Work with follow up accounts receivable

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 higher) OR 5+ years of medical billing experience
• 3+ years medical billing experience
• 3+ years experience with effectively interacting with physicians, patients, and other staff members
• 1+ year experience with obtaining authorizations of pre-certs from insurance companies
• 1+ year previous experience with insurance verifications
• Currently reside in New Jersey or New York with the ability to travel to 2 office locations; 200 West 57th Street, NY, NY 10019 and 555 West 57th Street, NY, NY 10019
• Intermediate level of proficiency with Microsoft Word, Excel and Outlook

Preferred Qualifications:

• Bilingual communication skills (Spanish)
• Medical billing and coding certification
• Knowledge of electronic medical records
• Access to carrier portals

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

New York Residents Only: The salary range for New York residents is $18.80 to $36.78. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.