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Full Job Description
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. Come make an impact on
the communities we serve as we help advance health equity on a global
scale. Here, you will find talented peers, comprehensive benefits, a
culture guided by diversity and inclusion, career growth opportunities
and your life’s best work.SM
This position is responsible for handling all correspondence
related to an insurance or patient account, contacting insurance
carriers, patients, and other facilities as needed to get maximum
payment on accounts and identify issues or changes to achieve client
profitability. This position will also be responsible for working EDI
transactions and ERA files, including reconciling carrier submissions,
edits and rejection reports.
Primary
Responsibilities:
- Follow
up of outstanding A/R all payers and/or including self-pay and/or
including resolution of denials - Ability to
research and resolve accounts appearing on Delinquent Insurance
Report, Collection Ledger and Government Payor report as directed by
management making appropriate decisions on accounts to be worked to
maximize reimbursement - Oversee workflow of the
team to ensure productivity measures are met - Meet productivity standards as outlined in client metrics
- Identify any issues or trends and bring them to the
attention of management team - Work on special
projects as assigned - Manage escalated patient
calls for the goal de-escalations with the ability to maintain - Other duties as assigned
Competencies:
- Thorough knowledge of the A/R Process
- Ability
to meet position metrics goals (KPI’s) - Strong
written and verbal communication skills
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 (or higher)
- 5+ years of Accounts Receivable and leadership
experience - 3+ years of experience with
healthcare and/or insurance billing and processing - 3+ years of experience with the A/R process
- Ability to work on site at: 111 Oakwood Rd., East Peoria, IL
61611 between the hours of 8am-4:30pm CST
Soft Skills:
- Organized
- Detail Oriented
- Ability to multi-task
- Works well
with others
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 #Red
