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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:



United States

Postal Code:


Approximate Salary:

Not Specified

Position Type:

Full Time

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Billing Clerk - Johnston, RI

UHG - JOHNSTON, Rhode Island

Posted: 09/2/2018

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.

The Billing Clerk will be responsible for the following duties.

Primary Responsibilities:

  • Responsible for daily management of third party accounts receivable process and follow-up. Will maintain department standards on quantity and quality of accounts worked daily, accuracy of detail, documentation of work done, this includes daily screening and correcting of claims for accuracy as determined by department policies and procedures.
  • Follow-up on original and pending claims. The employee is expected to call the insurance company, document the findings and gather and send the necessary documentation to process the claims.
  • Resolve claims appeals. Once a claim is denied and an appeal is appropriate, appeals are to be done on timely basis in order to avoid the filing limit. The employee must be knowledgeable regarding what can be appealed and what is not. This includes gathering the information necessary to process the appeal accurately, including but not limited to, the review of payer guidelines, payer EOBs, physician documentation, authorization and eligibility verification, working with the client representative for a prospective charge correction, as well as accessing all systems available to research information to appeal the denial. The employee must have a clear understanding of the entire appeals process from start to finish and also be able to work effectively with the Billing Manager.
  • Ad hoc projects as needed.
  • Each employee must possess good interpersonal skills and demonstrate team work.
  • Each employee must possess excellent organizational skills. The work area is expected to be neat and clean at all times.
  • Each employee is expected to adhere to the rules and regulations of Optum.
  • Each employee must demonstrate initiative, independence, and a willingness to learn new tasks.
  • Candidate must also be able to work with minimal direction.
  • Each employee must be able to work as a team and collaborate and contribute to solving problems.

Required Qualifications:

  • High School Diploma / GED or higher
  • 1 + years professional billing experience required
  • Proficient knowledge of Microsoft Word (creating and editing documents), Excel (general spreadsheet navigation) and Outlook (email and calendar)

Preferred Qualifications:

  • Bachelor’s degree (or higher) preferred, not required
  • Thorough knowledge of third party reimbursement
  • Thorough knowledge of Physician third party billing and collections
  • Knowledge of practice management software (ie: Caretracker)
  • Knowledge of medical terminology preferred

Soft Skills:

  • Excellent organizational skills
  • Ability to function independently and prioritize work
  • Strong interpersonal skills, service orientation, and teamwork
  • Excellent telephone and communication skills
  • Ability to work well under pressure
  • Ability to handle sensitive confidential information and data
  • Knowledge of medical terminology preferred

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do 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: Johnston, RI; Billing; Medical; Medical Billing; UHG; Optum; Insurance; Insurance Carriers

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