Collections Representative – National Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is 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. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Perform research on various computer systems and document customer information regarding current status, payment expectations, notes of conversations and other relevant information

Use mail, email and phones to contact customers to discuss, negotiate payment and resolve outstanding medical bill accounts and balances

Obtain agreement on potential balance payoff and/or payment terms within stated level of authority and guideline limits

Prepare and submits reports to internal management on status of outstanding medical bills and proposed/planned payment settlement details

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 Qualifications:

High school diploma / GED

Must be 18 years or older

1 years of experience of hospital/facility insurance collections

1 years of hospital patient accounting exp with a focus on insurance follow-up

1 years working denials from beginning to end to include writing and handling appeals

Strong knowledge of ICD10, CPT, HCPC codes

Proficient knowledge of Microsoft Excel, Outlook, and Word

Computer skills, including working knowledge of Microsoft Windows and navigation, mouse and keyboarding skills

Ability to work Monday- Friday, 08:00 AM – 05:00 PM EST

Preferred Qualifications:

3 years of healthcare patient accounting exp., with a focus on insurance follow-up

Ability to understand billing and field locations and definitions of UB04.

Ability to correctly bill or request billing for various insurances

Proficient knowledge of payer portals

Ability to accurately read and interpret EOBs (understand CARC/RARC codes).

Proficient knowledge of value codes, condition codes and modifiers

Medicare claim resolution

Possess verifiable knowledge of managed care protocols for coverage, based on illness/injury and whether provider is in or out of network

Possess in-depth understanding of claim denials and actions required for insurance payment/resolution

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 service.

Soft Skills:

Possess strong analytical and research skills.

Possess strong interpersonal skills for dealing professionally with clients and patients.

Must be able to speak clearly and audibly while working directly with payers, clients and patients.

Dependable, flexible, and able to work in a team environment.

Ability to work in a production environment and be goal oriented.

Must possess excellent organizational skills and be able to prioritize workflow.

All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.54 – $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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 .

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