AR Clerk - Medical Billing - NV (Telecommute possible)

    • Las Vegas, NV

Position Description

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Financial discipline and accountability count more today than ever. Which is why your performance and innovation will find a reception here like nowhere else as you help people live healthier lives while doing your life's best work.(sm)

**Please Note - The office is based in Las Vegas, NV. However, we will consider telecommuting if you have strong experience. Though you must be available to work the following hours: 8:00 am - 5:00 pm Pacific Time.

Primary Responsibilities:

  • Responsible for Account Receivables
  • Understand and comply with all governmental, regulatory and company billing and compliance regulations / policies including but not limited to Medicare and Medicaid programs
  • Review of HCFAs and patient invoices for appropriate coding, charges, allowables, co - pays and supporting documentation
  • Review and log ICD10 Coding Errors and related correspondence and corrective actions taken to ensure proper payment
  • Follow - up with payors, patients and other appropriate parties to collect open billings in a timely manner and to ensure compliance with billing regulations
  • Identify and report to management payor issues with regards to billing and collection
  • Responsible for chart audits, review billing edit and bills on hold report
  • Communicate in writing and by telephone with patients for resolution of billing or customer service issues
  • Obtain authorization for services to be performed from insurance payers
  • Other duties and projects as assigned
  • Responsible for payment posting, credits, and working insurance and private ATBs
  • Claims preparation and processing
  • Applies knowledge / skills to activities that often vary from day to day
  • Demonstrates a moderate level of knowledge and skills in own function
  • Solves routine problems on own
  • Works with supervisor to solve more complex problems
  • Performs all other related duties as assigned

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:
  • High school education or GED
  • 2+ years of Medical billing experience
  • Knowledge of CPT and ICD-10 coding
  • Office base position in our Las Vegas office

Preferred Qualifications:
  • Certified Billing Specialist
  • Knowledge of Modifiers
  • Oncology billing experience

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Job Keywords: Certified Billing Specialist, Modifiers , medical billing, oncology, Medicaid, medicare, coding, HCFA, ATB

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