Optum is a dynamic global organization committed to enhancing healthcare through innovative technology, ultimately empowering millions to embrace healthier lives. Join our dedicated team and make a significant impact on health outcomes by enabling individuals to access the care, pharmacy benefits, data, and resources essential for their well-being. Here, you’ll thrive in an inclusive culture alongside talented colleagues while enjoying comprehensive benefits and ample career growth opportunities. Together, let’s advance health optimization worldwide. Come on board and start Caring. Connecting. Growing together.

In this role as an A/R Billing Clerk, you will play a crucial part in validating patients’ insurance coverage, processing recurring rentals, coding claims, and managing the billing process including price validation. Your responsibilities will also involve assisting patient accounts with any billing discrepancies, posting payments, and addressing denials using the CareTend management system. Our Southwest Medical Pharmacy and HME processes approximately 22,000 claims monthly, comprising around 15,000 electronic claims and 5,000 paper claims. As an A/R Billing Clerk, you will follow up on roughly 4,000 claims each month, ensuring correct billing adjustments for both patients and insurers.

This is a full-time position, operating Monday through Friday. Flexibility to work within our 8-hour shifts during our business hours of 8:00 am – 4:30 pm is essential, and occasional overtime may be required based on operational needs.

We provide 4-6 weeks of paid training and shadowing, with training hours from 8:00 am – 4:30 pm.

For candidates residing in PST or MST, the option to work remotely is available, presenting a chance to tackle some rewarding challenges.

Key Responsibilities:

• Engage with customers to collect support data to ensure billing accuracy while addressing any billing discrepancies.
• Contribute insights to refine and enhance policies, systems, and procedures aimed at effective premium billing management.
• Educate clients on online options for receiving invoices and remitting payments.
• Monitor outstanding balances and take appropriate steps to ensure timely payment.
• Oversee invoice preparation and ensure rigorous reconciliation with accounts receivables.
• Possibly assist in quality assurance and auditing of billing processes.
• Resolve general inquiries and issues, escalating only the most complex matters when necessary.

You’ll be valued for your contributions in a stimulating environment that sets clear expectations for success while also fostering your development for future roles.

Required Qualifications:

• High School Diploma or GED.
• Must be at least 18 years old.
• A minimum of 2 years of experience in accounts receivable within a Multi-Specialty environment (e.g., Adult Medicine, OBGYN, Pediatrics, Cardiology, Pain Management, Urgent Care) in the past 2-3 years.
• At least 2 years of experience in claims processing or appeals/reconsiderations.
• Ability to interpret explanations of benefits.
• Familiarity with medical terminology.
• Basic computer skills, particularly with Microsoft Office and Excel.
• Experience with ICD-10 and CPT coding, including modifiers.
• Typing speed of at least 45 words per minute.
• Willingness to work any 8-hour shift within the timeframe of 8:00 am – 4:30 pm, Monday through Friday, with the flexibility to handle occasional overtime if needed.

Preferred Qualifications:

• 1+ year of experience with major medical insurance groups (e.g., BCBS, Cigna, Aetna, Health Plan of Nevada, UHC).
• 1+ year of experience with Medicare or Medicaid billing.

Telecommuting Requirements:

• Must reside within PST or MST.
• A secure environment for all company-sensitive documents is necessary (if applicable).
• Dedicated workspace that ensures privacy and separation from other living areas is required.
• High-speed internet connection capability from a UnitedHealth Group-approved provider or access to existing high-speed internet service is essential.

Remote employees must comply with UnitedHealth Group’s Telecommuter Policy.

Compensation is influenced by various factors, including local labor market trends, education, work experience, and certifications. Alongside your salary, we offer an extensive benefits package, incentive programs, equity stock purchase options, and a 401k contribution plan (subject to eligibility requirements). The hourly pay for this role typically ranges from $17.74 to $31.63 for full-time employment. We strictly adhere to all applicable minimum wage laws.

Application Deadline: The posting will remain live for a minimum of 2 business days or until a robust candidate pool has been identified. The job listing may be removed early depending on applicant volume.

At UnitedHealth Group, our mission is to empower individuals to lead healthier lives and enhance the overall health system for everyone. We believe that every individual – regardless of race, gender, sexuality, age, location, or income – deserves the chance to live a healthy life. Despite progress, significant barriers to good health still exist, particularly for marginalized communities. We are committed to minimizing our environmental impact and providing equitable healthcare solutions that address disparities and improve health outcomes, reflecting our mission as a core enterprise priority.

UnitedHealth Group is an Equal Employment Opportunity employer. We consider qualified applicants for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or veteran status, or any other characteristic protected by local, state, or federal laws.

Additionally, UnitedHealth Group maintains a drug-free workplace. Candidates are required to pass a drug test prior to commencing employment.