Optum ยท 1 day ago
Account Receivable Clerk
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Account Receivable Clerk will follow up on outstanding accounts receivable, handle correspondence related to insurance or patient accounts, and work to maximize reimbursement while maintaining patient confidentiality.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Work under the daily supervision of the Operations A/R Supervisor/Manager
Effectively work with the client and staff to improve billing operations
Assist patients with questions ad inquiries
Validate insurance and other billing information
Review Medical Records to validate date of service, servicing provider and other basic non-clinical data
Assist in identifying current and/or potential billing issues specific to outstanding receivable
Follow up on denied or unadjudicated encounters
Protect/observe patient confidentiality per policies and procedures
Meet productivity standards as based on internal operational and client goals
Enter free form notes/status codes onto patient accounts ensuring adequate documentation for any activity performed on the account through billing, follow-up, or processing of correspondence
Review and prepare claims for manual and/or electronic billing submission. This includes submitting corrected claim and appeals
Correct any identified billing errors and resubmit claims to insurance carrier. Follow up on payment errors, low reimbursement, denials, etc
Complete third party contractual and/or regulatory adjustments and write offs as indicated on the explanation of benefits and/or third-party correspondence
Use appropriate systems for payment determination and resolution
Maintain a current working knowledge of all healthcare related issues and regulations
Act responsibly with patients, co-workers, management, and clients. Maintain a professional attitude
Demonstrate knowledge of proper, safe, efficient usage of current office equipment/software
Assist in other duties assigned as they arise
Qualification
Required
High School Diploma/GED
Must be 18 years of age or older
2+ years of medical billing experience
2+ years of experience with effectively interacting with physicians, patients, and other staff members
Intermediate level of proficiency with Microsoft Word, Excel and Outlook
Knowledge of Out of Network billing and appeals
Oral & written communication skills
Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm EST
Preferred
Medical billing and coding certification
Knowledge of electronic medical records
Working knowledge of New Jersey No-Fault & Workers Compensation billing and appeals
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase