Accounts Receivable Clerk - Remote Nationwide

$34,403 - $67,704/Yr

Optum - Eden Prairie, MN

Full-time

Remote - Eden Prairie, MN

Insurance Carriers and Related Activities

About the position

The Accounts Receivable Clerk position at Optum involves providing support to the Allina Health account by managing hospital billing denials and follow-ups for various payer plans. This role is crucial in ensuring accurate processing of facility claims and improving health outcomes through effective billing practices. The position offers the flexibility to work remotely from anywhere in the U.S. and requires full-time commitment with a focus on quality and compliance in handling healthcare claims.

Responsibilities

• Accurate processing of facility claims
• Responsible for editing and adjusting of EDI claims
• Analyze and adjudicate claims to ensure accurate payment
• Meet Department Quality and Accuracy Standards
• Interfaces with other departments to obtain necessary information required for resolution of claims
• Advise management of any claim issues or inappropriate and/or incorrect billing
• Perform additional duties assigned by management
• Assist with projects geared to improve efficiency and cost savings
• Requests medical records to assist in appeals requests from health plans
• Uses, protects, and discloses our patients' protected health information (PHI) only in accordance with HIPAA standards
• Evaluate and respond to all aspects of written billing inquiries, including but not limited to: billing insurances, and updating invoices
• Research, troubleshoot and resolve complex billing issues, taking all steps to resolve and ensure full resolution
• Maintain all Compliance and HIPAA regulations at all times

Requirements

• 2+ years of Accounts Receivable experience with denials & appeals
• 2+ years of experience working with multiple health insurance payers
• 2+ years of office experience in the healthcare industry
• 2+ years of experience working with medical terminology, healthcare claims & coding software
• 2+ years of data entry experience
• Intermediate proficiency with Microsoft Office applications, including Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Teams
• Ability to work any shift between the hours of 6:00 am - 6:00 pm CST

Nice-to-haves

• Experience working with appeals
• Experience with thorough navigation of Excellian/Epic Hyperspace Billing System
• Experience with thorough navigation of Change HealthCare Assurance Reimbursement Management claims system

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution