Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities.

Who are we? OPTUM360. We're a dynamic new partnership formed by Dignity Health and OPTUM to combine our unique expertise. As part of the growing family of UNITEDHEALTH GROUP, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do YOUR LIFE'S BEST WORK.SM

The ACCOUNTS RECEIVABLE CLERK is responsible for addressing and resolving insurance claims that are unpaid. This is accomplished by contacting insurance companies, by phone or via the web, to get additional information on why medical claims were denied or remain unpaid and determine the best course of action to resolve the denied or unpaid claim. The ACCOUNTS RECEIVABLE CLERK is responsible for the day-to-day processing of assigned unpaid insurance claims. This includes the timely review of insurance Accounts Receivable and recommendations for reprocessing or adjustment to the client. The ACCOUNTS RECEIVABLE CLERK demonstrates successful appeal responses to third-party payers concerning medical claim denials. This individual works with the Accounts Receivable Manager, Team Leader and Business Analyst to reduce or eliminate denials.

PRIMARY RESPONSIBILITIES:

• Responsible for the accurate processing and completion of medical claim denials and appeals
• Work according to Standard Operating Procedures
• Proficiency in insurance standards and claims processing.
• Process correspondence and requests for reconsideration within standard time frames
• Write accurate and effective appeal letters to insurance companies on denied claims
• Adhere to strict compliance standards
• Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards
• Escalates issues to their Team Leader or Manager appropriately
• Special projects as required

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)
• 1+ years of working experience with Microsoft Tools: Word (creating memos, writing), Outlook (setting calendar appointments, email) and Excel (creating spreadsheets, filtering, navigating reports)

PREFERRED QUALIFICATIONS:

• 1+ years of Medical Insurance Billing experience OR completion of a Billing Certificate program
• Technical knowledge of CPT and ICD-10 codes and how they impact claims processing

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. SM

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.

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.