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.
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It’s an opportunity to do you.
The Account 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. Employees are required to work our normal business hours of 7:30am – 5:00pm, Monday – Thursday and 7:30am – 11:30am PST on Fridays. It may be necessary, given the business need, to work occasional overtime. Our office is located at 2716 N Tenaya Way, Las Vegas, NV.
We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule.
If you are located within a commutable distance to office at 2716 N Tenaya Way, Las Vegas, NV, 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 Diploma / GED
- Must be 18 years of age OR Older
- 1+ years of 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 our normal business hours of 7:30am – 5:00pm, Monday – Thursday and 7:30am – 11:30am PST on Fridays. It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications:
- Medicare and/or Medicaid billing experience
Telecommuting Requirements:
- Reside within a commutable distance to 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
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Nevada Residents Only: The hourly range for this role is $16.54 to $32.55 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.
