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Accounts Receivable Associate - Providence, RI
| Hours | Full-time, Part-time |
|---|---|
| Location | Providence, RI Providence, Rhode Island |
About this job
Position Description:
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.
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.
Primary Responsibilities:
- Responsible for the accurate processing and completion
of medical claims. - Process claims that route out of automatic
adjudication, within current turnaround standards. - Proficiency in product lines applicable to processing
unit. - Understand and apply plan concepts to include:
- Deductible
- Coinsurance
- Co-pay
- State variations
- Recognize issues related to variable deductible,
coordination of benefits, carve-out and alternate benefits. - Process correspondence and requests for reconsideration
within time service standards. - Use pre-approved electronic letters as well as
handwritten letters to communicate with customers, providers, attorneys,
regulators and other external entities. - Adhere to quality improvement initiatives.
- Demonstrate increasing productivity to meet minimum
requirements while maintaining quality standards. - Special projects as required.
Requirements
Requirements:
- High School Diploma or GED is required
- Intermediate proficiency in MS/Office (Word, Excel
& Outlook). - Medical Billing experience
- Must be able to work between 8:00am - 4:30pm with some
flexibility (Monday – Friday)
Assets:
- IDX/ GE Centricity systems knowledge preferred
- EPIC system knowledge preferred
- Invasion system
knowledge preferred - Previous experience working in an Accounts Receivable department is
preferred. - Experience with Medical Insurance AR (Medicaid
for state of Pennsylvania experience preferred)
Physical Requirements and Work
Environment:
- Frequent speaking, listening using a headset, sitting,
use of hands/fingers across keyboard or mouse, handling other objects,
long periods working at a computer - Service center environment with moderate noise level
due to Representatives talking, computers, printers, and floor activity
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.
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.
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