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\xe2\x80\x99s best work.SM

This is a challenging role that requires consistent performance by delivering excellence and high-quality results. It\xe2\x80\x99s a fast-paced environment that requires focus and ability to multi-task throughout the day.

Hours: This is a 40-hour, full time role working flexible shifts, sometimes including evenings or Saturdays. We require our employees to be flexible enough to work any shift, any day of the week during those hours.

You\xe2\x80\x99ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Perform research on various computer systems and document customer information regarding status, payment expectations, notes of conversations and other relevant information
• Retrieval of electronic payment data, review and interpretation of electronic and paper EOB\xe2\x80\x99s, verification of contractual write off amounts and data entry and balancing of payment data to patient accounts according to payer or program specifications; performs other related duties as assigned
• Accurately post transaction (payments and adjustments) from various sources on a daily basis. Payment sources include Electronic Remittances, Lockboxes with paper checks and EOB\xe2\x80\x99s, patients, collection agencies, credit cards
• Collaborate with the manager and team to research third party medical and administrative policy that may affect billing operations \xe2\x80\x93 communicating relevant changes to supervisor and manager
• Able to reconcile monthly Reconciliation Spreadsheets and balance. Recognize trends and report them to management
• Research unidentified payments, prepares refund requests and have extensive knowledge of recoupments. Poster will be expected to maintain department expectations and hold a high production level
• Contact payers regarding missing files and payments and/or other claim related issues

You\xe2\x80\x99ll 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) OR 2+ years as an accounts receivable clerk
• 1+ years of experience as an accounts receivable clerk

• Payment sources including Electronic Remittances
• Lockboxes with paper checks and EOB\xe2\x80\x99s
• Patients, collection agencies, credit cards
• 1+ years of experience working within health insurance with the ability to review and interpret electronic and paper EOB\xe2\x80\x99s
• Intermediate level of proficiency in Microsoft Word, Excel (able to reconcile monthly Reconciliation Spreadsheets and balance, and recognize trends and report them to management), Teams and Outlook
• Ability to work an 8-hour shift Monday through Friday (and including working on the Saturday when a month ends on a weekend)

Preferred Qualifications:

• 1+ years of electronic cash posting and reconciliation experience in a managed care (hospital, physician office, clinic, insurance company, etc.) setting
• 1+ years of experience with or knowledge of accounting functions
• Advanced level of proficiency with Microsoft Office Suite experience in a professional setting - Microsoft Word (create and edit correspondence), Microsoft Excel (ability to create, edit, and sort spreadsheets, basic analytical formulas (VLOOKUP, if). Microsoft PowerPoint (ability to create and edit slides), and Microsoft Outlook (email and calendar management)
• Ability to make accurate mathematical computations and comparisons
• Ability to operate 10 key with speed and accuracy
• Reside in Mountain or Pacific Time Zones

Soft Skills:

• Read, comprehend, and apply moderately complex information from procedure manuals
• Concentrate and attend to detail under pressure from volume and time constraints to effectively meet production expectations, including the ability to multi-task
• Establish and maintain effective working relationships with those contacted in the course of daily work, communicate clearly and concisely
• Maintain flexibility and adjust priorities as circumstances arise
• Maintain confidentiality of patient data and patient accounting transactions

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

*All Telecommuters will be required to adhere to UnitedHealth Group\xe2\x80\x99s Telecommuter Policy.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $16.00 to $31.44. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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\xe2\x80\x99ll 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\xe2\x80\x93of every race, gender, sexuality, age, location and income\xe2\x80\x93deserves 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 \xe2\x80\x94 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, #Green

UnitedHealth Group