The job below is no longer available.

You might also like

in Rancho Cordova, CA

  • $45,000 - $75,000
    Verified per year
    Fidelity Investments 12h ago
    Just postedUrgently hiring12.3 mi Use left and right arrow keys to navigate
  • $24
    est. per hour
    Express Employment Professionals 3h ago
    Urgently hiring11.1 mi Use left and right arrow keys to navigate
  • $21
    est. per hour
    Express Employment Professionals 3h ago
    Urgently hiring11.1 mi Use left and right arrow keys to navigate
  • $16 to $27
    Verified per hour
    Community Choice Financial Family of Brands 9h ago
    Urgently hiring Use left and right arrow keys to navigate
  • $23
    est. per hour
    Montgomery & Associates 5d ago
    Urgently hiring11.3 mi Use left and right arrow keys to navigate
Use left and right arrow keys to navigate
Hours Full-time, Part-time
Location RANCHO CORDOVA, CA
RANCHO CORDOVA, California

About this job

Position Description:

Health
care isn't just changing.  It's growing more complex every day.  ICD10
replaces ICD9.  Affordable Care adds new challenges and financial
constraints.  Where does it all lead?   Hospitals and health care
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 health care 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
 
Welcome
to one of the toughest and most fulfilling ways to help people,
including yourself. We offer the latest tools, most intensive training
program in the industry and nearly limitless opportunities for
advancement. Join us and start doing your life's best work.

This
position is responsible for the clerical duties relating to the timely
follow up and reconciliation of accounts billed to Commercial, Managed
Care insurance companies and some Government programs. Typical duties
include; review accounts receivable aging report; trace and appeal
unpaid and/or erroneously paid or denied accounts; work selected return
billings for reprocessing; verify and adjust accounts according to payer
or program specifications; appeals, refunds and performs other related
duties as assigned.
 
Primary Responsibilities:
  • Contact customers to determine reason for payment delinquency
  • Negotiate and advise on collection of overdue claims and take appropriate action to recover overdue/ incorrect payments
  • Handle unresolved inquiries/issues
  • Responsible for adhering to collection practices
  • May work with outside legal counsel and/ or outside agencies in more complex collection cases
  • Some work is completed without established procedures.
  • Basic tasks are completed without review by others.

As an Associate Patient Account Representative you will need knowledge of: 
  • Hospital or patient accounting department functions, operations and procedures 
  • Medical terminology, procedure and diagnosis coding sufficient to assess accuracy of patient accounts 
  • Covered insurance benefits, billing requirements and procedures for third party payers and/ or Government Programs
  • Data elements for UB04/ 1500 and/or State of California Medi-cal Program
  • Operation of on-line computerized patient accounting systems and/ or electronic billing systems
  • Accounting practices and procedures common to accounts receivable
  • General clerical office practices and procedures 
  • Medical terminology
  • HCPCS/ CPT and ICD9/ ICD10 Coding understanding
  • Hospital and patient accounting department functions
  • Insurance policies and their benefits
  • Data processing input devices
  • Accounts receivable practices and procedures
  • General clerical office practices  
  • Knowledge of payer contracts

Requirements

Requirements:
  • High school diploma/ GED
  • Availability to work 40 hours per week within the operating hours of the site (Monday - Friday, 7:30 am to 5:00 pm)
  • 1+ years of customer service experience using the telephone and computer as primary tools to perform job duties.
  • 1+
    years of basic proficiency with Windows PC applications which includes
    the ability to learn new and complex computer system applications
Assets:
  • 1+ years of experience with in billing and/ or Collections/ Revenue Cycle 
  • Previous experience in a Revenue Cycle position
  • Intermediate proficiency of MS Office suite (Word, Excel, Outlook) preferred
  • Ability to interpret Payer contracts and to determine accurate payments on a patient account
Work Environment:
  • Extended periods of sitting at a computer and use of hands/ fingers across keyboard or mouse
  • Office environment
Careers with OptumInsight.
Information and technology have amazing power to transform the health
care 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.
 


Diversity creates a healthier
atmosphere: 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.