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Acct Receivable Clerk (Pharmacy / DME) - Las Vegas, NV

UnitedHealth Group

Las Vegas, NV
Job Code:
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Job Details

742384 Acct Receivable Clerk Pharmacy DME Las Vegas NV

Acct Receivable Clerk (Pharmacy / DME) - Las Vegas, NV (742384)

Position Description

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Financial discipline and accountability count more today than ever. Which is why your performance and innovation will find a reception here like nowhere else as you help people live healthier lives while doing your life's best work.(sm)



Primary Responsibilities:

  • Responsible for Accounts Receivable for Pharmacy / Durable Medical Equipment (DME)

  • Understand and comply with all governmental, regulatory and company billing and compliance regulations / policies including but not limited to Medicare and Medicaid programs

  • Review of HCFAs and patient invoices for appropriate coding, charges, allowables, co-pays and supporting documentation

  • Review and log ICD10 Coding Errors and related correspondence and corrective actions taken to ensure proper payment

  • Follow-up with payors, patients and other appropriate parties to collect open billings in a timely manner and to ensure compliance with billing regulations

  • Identify and report to management payor issues with regards to billing and collection

  • Responsible for chart audits, review billing edit and bills on hold report

  • Communicate in writing and by telephone with patients for resolution of billing or customer service issues

  • Obtain authorization for services to be performed from insurance payers

  • Other duties and projects as assigned

  • Responsible for payment posting, credits, and working insurance and private ATBs

  • Claims preparation and processing

  • Applies knowledge / skills to activities that often vary from day to day

  • Demonstrates a moderate level of knowledge and skills in own function

  • Solves routine problems on own

  • Works with supervisor to solve more complex problems

  • Prioritizes and organizes own work to

Required Qualifications:

  • High school education or equivalent experience

  • 2 Years of Medical / DME billing experience

  • Knowledge of CPT and ICD-10 coding

  • Requires little assistance with standard and non-standard requests

  • Excellent written and verbal communication skills



Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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.



Job Keywords: Accounts Receivable, A/R clerk, verifying medical claims, CPT, ICD-10, DME, Durable Medical Equipment, Pharmacy, Las Vegas, NV, Nevada

Job Details

  • Contest Number742384
  • Job TitleAcct Receivable Clerk (Pharmacy / DME) - Las Vegas, NV
  • Job FamilyFinance
  • Business SegmentOptumCare

Job Location Information

  • Las Vegas, NV
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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