23 days old

Accounts Receivable Clerk - Johnston, RI

Johnston, RI 02919
  • Job Code
    852225

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.SM


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, co-insurance, co-pay, and 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.
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.
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Posted: 2019-11-14 Expires: 2019-12-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Accounts Receivable Clerk - Johnston, RI

UnitedHealth Group
Johnston, RI 02919

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