Accounts Receivable Clerk - Boulder, CO

$34,403 - $67,704/Yr

Optum - Boulder, CO

Full-time - Entry Level

Remote - Boulder, CO

Insurance Carriers and Related Activities

About the position

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Accounts Receivable Clerk, you will be responsible for the follow-up of outstanding Accounts Receivable across all payers, including self-pay and the resolution of denials. This position entails handling all correspondence related to insurance or patient accounts, contacting insurance carriers, patients, and other facilities as needed to maximize payment on accounts and identify issues or changes to achieve client profitability. You will also be responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits, and rejection reports. Your ability to research and resolve accounts appearing on the Delinquent Insurance Report, Collection Ledger, and Government Payor report as directed by management will be crucial in making appropriate decisions on accounts to maximize reimbursement. If you are located in Boulder, CO, you will have the flexibility to work from home and the office in this hybrid role as you take on some tough challenges. You will meet productivity standards as outlined in client metrics, identify any issues or trends and bring them to the attention of the management team, work on special projects as assigned, manage escalated patient calls with the goal of de-escalation, and reconcile and post insurance payment batches as assigned. Other duties may be assigned as necessary. You will be rewarded and recognized for your performance in an environment that will challenge you and provide clear direction on what it takes to succeed in your role, as well as offer development for other roles you may be interested in.

Responsibilities

• Follow up on outstanding Accounts Receivable for all payers, including self-pay and resolution of denials.
• Handle all correspondence related to insurance or patient accounts.
• Contact insurance carriers, patients, and other facilities to maximize payment on accounts.
• Work on EDI transactions and ERA files, reconciling carrier submissions, edits, and rejection reports.
• Research and resolve accounts on the Delinquent Insurance Report, Collection Ledger, and Government Payor report as directed by management.
• Meet productivity standards as outlined in client metrics.
• Identify issues or trends and report them to the management team.
• Manage escalated patient calls with the goal of de-escalation.
• Reconcile and post insurance payment batches as assigned.
• Perform other duties as assigned.

Requirements

• High school diploma or GED.
• 1+ years of medical or professional office work experience.
• Demonstrated entry-level proficiency with MS Office (Including Excel, Word, and Outlook).
• Ability to work on-site at 4990 Pearle East Circle #100 Boulder, CO 80301.

Nice-to-haves

• Demonstrated accounts receivable experience.
• Demonstrated Epic experience.
• Demonstrated payment balancing experience.
• Organized and detail-oriented.
• Ability to multi-task and work well with others.

Benefits

• Work from home flexibility.
• 401(k) matching contributions.
• Comprehensive benefits package including equity stock purchase and incentive programs.