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Responsible for the accurate and timely follow-up of accounts receivable including analyzing, researching and resolving unpaid claims.
Primary Responsibilities: Follow up on invoices submitted to ensure prompt / timely payment and escalate issues as necessary.
Evaluates payments / denials received for correctness and ensures they are applied appropriately.
Creates 1st level appeals and assist with payer projects Identifies bad debt write - offs and A / R adjustments.
Initiates write - off and adjustments in accordance with policies and procedures.
Ensures secondary bills and patient invoices are accurately generated and submitted on a timely basis.
Identifies any over-payments and/or duplicate payments, with investigation and resolution.
Processes refund requests, in accordance with policies and procedures.
Adheres to Regulatory / Payor Guidelines and policies & procedures.
Provides exceptional customer service to internal and external customers.
Other duties as assigned.
Required Qualifications: High School Diploma/GED (or higher) Minimum of 2 years in Accounts Receivables (A/R) follow-up in the healthcare/medical field Preferred Qualifications: Demonstrated proficiency in using Microsoft Office - Outlook (sending emails), Word (opening a document, cutting, pasting and aligning text, selecting font type and size), and Excel (opening a workbook, inserting a row, selecting font style and size) Medical collections experience, preferably in home infusion, pharmacy, or DME Soft Skills: Exceptional phone skills, verbal and written communication skills OptumRx is an empowering place for people with the flexibility to help create change.
Innovation is part of the job description.
And passion for improving the lives of our customers is a motivating factor in everything we do.
If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact.
Let's talk about smart, motivated teams.
Let's talk about more effective and affordable healthcare solutions.
This is caring.
This is great chemistry.
This is the way to make a difference.
We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.
Join us and start doing your life’s best work.
SM 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.
Keywords: OptumRx, UnitedHealth Group, Accounts Receivables, A/R, Billing Coordinator, Healthcare, Medical, Home Infusion, Pharmacy