Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.
This position is full time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30am – 5:00pm.
We offer 1 week of on-the-job training. The hours of the training will be aligned with your schedule.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Position is for medical insurance accounts receivable specialists within a centralized billing office
- Responsibilities include, but are not limited to
- Maintain insurance account receivable management for multiple offices, specialties and payers
- Follow up with insurance companies on unpaid or denied claims
- Resolve claim errors and re-submit claims as appropriate for reimbursement
- Prepare appeal letters to insurance carrier when not in agreement with claim denial
- Identify and report payer issues to Unit Leads and Managers with regard to denial trends or change in payments
- Recommend account adjustments as appropriate
- Maintain appropriate documentation and notes of all collection activity
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
- 2+ years of experience with denial management across multiple insurance carriers and specialties
- Ability to work full time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30am – 5:00pm
Telecommuting Requirements:
- 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:
- Must be a self-starter with problem-solving skills
- Must have a strong knowledge of payers and medical insurance terminology for billing, local coverage determinations policies, A/R follow-up and managed care regulations
- Must be able to meet high productivity and accuracy standards
- Must pay exceptional attention to detail
- Must work well in a team
- Must have superior customer service and communication skills
- Must be proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The hourly range for this role is $28.00 – 30.00 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
