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.

As the Senior Accounts Receivable Clerk, you'll play a critical role in creating a quality experience that impacts the financial well-being of our patients. In an environment where the patient is at the center of everything we do, the Senior Accounts Receivable Clerk play an important role on a team that supports the Accounts Receivable department by performing combinations activities.

Primary Responsibilities:

• Assists in documenting standard operating procedures and business rules for the department
• Communicates with superiors, peers, employees, internal and external customers, and others, as appropriate, on a regular basis, assuring proper flow of information
• Assists in resolving problems relating to all areas of Patient/Third Party billings and missing information
• Responds to patient complaints and escalated issues to ensure the appropriate action for resolution occurs
• Collaborate with team members to ensure continuous improvement in processes
• Maintains current knowledge of billing requirements, denials and system practices
• Obtain Authorizations for office and Surgery procedures.
• Obtain MRI authorizations
• Insurance verification
• Schedule peer to peer for providers for denied procedures.
• Work appeals
• AR follow up.

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:

• 3+ years of experience in insurance billing
• 1+ year of experience in patient, client, or third-party insurance billing
• Advanced level of proficiency with Windows PC applications, which includes solid keyboard and navigation skills and ability to learn new computer programs
• Experience with approvals for procedures
• Knowledge of insurance portals
• Superior Customer Service

Preferred Qualifications:

• Previous work experience in a fast-paced environment requiring solid multi-tasking and problem-solving skills

Soft Skills:

• Ability to multi-task and collaborate with others
• Solid organizational skills are a must
• Ability to resolve calls, avoiding escalated complaints
• Ability to exhibit empathy and be courteous to callers
• Ability to triage and handle escalated situations
• Ability to adapt to changes
• Ability to develop and maintain client relationships

Careers with Optum. We built an entire organization around one giant objective; make the health system work better for everyone. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on an elite team. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

New York Residents Only: The hourly range for this role is $19.47 to $38.08 per hour. 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.

#RPO #Green

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