Medical Collection 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. 

Responsible for performing complex or specialized collection functions by interfacing with various departments, insurance carriers, patients and providers while ensuring good patient and provider relations. Services as a patient advocate to handles unresolved inquiries/issues.  Responsible for participating in the development, implementation, maintenance, and management of organizational polices on collection processes

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

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

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

  

Primary Responsibilities:

• Has a contagious and positive work ethic, inspires others, and models the behaviors of Genuine, Caring, Friendly.
• Effective verbal and written communication that is clear, well-organized, and demonstrates an understanding of audience needs.
• Through genuine and positive communication, makes each customer feel informed, understood, and special.
• An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.
• Can keep up in the Optum environment by facing tasks and challenges with energy and passion.
• Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals.
• Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care and concern with each internal and external customer.
  
• Applies knowledge/skills to a range of moderately complex activities.
  
• Great depth of knowledge/skills in own function.
  
• Maintains proper timely resolution of assigned tasks, Worklists within establish timeframes.
  
• Performs precise audits of patient accounts to ensure accuracy of charges, payments and adjustments.
  
• Works with team to solve complex problems.
  
• Plans, prioritizes, and completes work to meet established objectives.
  
• Special ability in dealing with patients regarding sensitive financial matters and recapturing unpaid balances.
  
• Uses, protects, and discloses Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  
• Performs additional duties as assigned.
  

  

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 OR equivalent experience
• Must be 18 years of age or older
• 1+ years of work experience in a corporate setting with 1+ years in managed care or medical insurance experience (can include credentialing providers, provider relations, medical billing, provider administration)
• Ability to analyze data and determine root causes.
• Ability to learn, understand and apply knowledge of established insurance contracts, understanding of benefits (EOB), payment posting, charge entry and refund process.
• Experience with CPT/ICD-9 coding.
• Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed
• Ability to work Monday – Friday 8:00am to 5:00pm Local time

  

Preferred Qualification:

• Knowledge of revenue cycle process.  
• Flexibility to meet the needs of the Revenue Cycle regarding changes in workload and assigned duties.
• Experience with Revenue Cycle software, Athena Net. 
• Organizational skills and ability to multi-task in a fast-paced environment.
• Ability to work with payers and patients to effectively communicate account issues and drive account resolution.
• Understanding of HIPAA.
• 2+ years of experience in revenue cycle management.

  

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.

  

Physical And Work Environment:

• Environment – Office environment, up to no travel required.
• Physical Requirements – Sitting, standing, walking, and using keyboard.

  

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

  

The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. 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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