Senior Account Receivable Clerk - New York, NY - Optum : Job Details

Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.

Core On Site Client Office: 5 East 98th Street, 6th Floor, New York, NY 10029

Schedule: Monday - Friday 8:30am - 5pm EST

Primary Responsibilities:

• Assists in documenting standard operating procedures and business rules for the department
• Communicates with superiors, peers, employees, internal and external customers, and others, as appropriate, on a regular basis, assuring proper flow of information
• Assists in resolving problems relating to all areas of Patient/Third Party billings and missing information
• Responds to patient complaints and escalated issues to ensure the appropriate action for resolution occurs
• Collaborate with team members to ensure continuous improvement in processes
• Maintains current knowledge of billing requirements, denials and system practices
• Obtain authorizations for office and OR procedures
• Obtain MRI authorizations
• Insurance verification
• Schedule peer to peer for the doctors for denied procedures
• Work appeals
• AR follow up
• Deposit to cashier weekly/biweekly

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:

• 3+ years of experience in the medical field (i.e. medical terminology)
• Knowledge of obtaining prior authorizations and verification of insurance
• Demonstrated excellent communication skills

Preferred Qualifications:

• Knowledge of online insurance carries portals
• Knowledge of Epic
• Computer skills, including Excel, Word, Microsoft Office
• Knowledge of Hospital Systems

New York Residents Only: The hourly range for this role is $19.47 to $38.08 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.

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