Accounts Receivables Team Lead

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

Assist Operations Manager with projects, provides support, conducts staff audits and trains staff on AR Follow-up functions. Also, may assist with AR Follow up of outstanding A/R all payers and/or including resolution of denials, handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability.  Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports.  May serve as a back-up for data entry, payment posting and reconciliation.   Ability to research and resolve accounts appearing on Aged AR Report, Payment and Credit Balance reports as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement. Responsible for review and approval of Refunds and RFIs- request for additional information as needed.

This employee works with a specific department coordinating work with the Operations Manager, other Team Leads and the team to achieve goals.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

Primary Responsibilities:

• Meet productivity standards as outlined in client metrics
• Identify any issues or trends and bring them to the attention of management team
• Work on special projects as assigned 
• Train others and Q/A work of others as assigned
• Other duties as assigned
• AR Follow up of outstanding A/R all payers and research and resolve accounts appearing on Aged AR Report

Competencies:

• Thorough knowledge of the A/R Process
• Ability to meet position metrics goals (KPI's)
• Strong written and verbal communication skills

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 Qualification:

• High School Diploma/GED
• Must be 18 years of age or older 
• 3+ years of AR work experience 
• Comprehensive knowledge of the A/R process
• Epic experience with Professional Billing
• Working knowledge of California payers/insurances
• Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• Healthcare and / or insurance billing, processing or customer service

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet