Collections Representative (Major Medical) – 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.

As a Major Medical Collection Representative your primary function will be major medical billing and insurance collections.  You will be contacting payers regarding outstanding accounts receivables. Handling unresolved inquiries/issues. Responsible for adhering to collections process and maintaining and organization policies on collection practices. 

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 7:30am – 6:00pm CST. 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 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:

• Analyzes daily denial management correspondence to appropriately resolve issues.
• Reviews and resolves accounts assigned via work lists daily as directed by supervisor.
• Ability to communicate effectively in written and oral form.
• Ability to multitask and function in a fast-paced environment.
• Ability to prioritize and problem-solve.
• Research root cause to report to Supervisor.
• Identify payer performance trends at the payer level.
• Capable of navigating payer portal
• Identifies bad debt write-offs and adjustments.
• Process refunds as identified to meet payer guidelines.
• Adheres to regulatory/payer guidelines and policies and procedures.
• Provides exceptional customer service to internal and external customers.
• Other 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 
• Must be 18 years of age OR older 
• Computer skills, including working knowledge of Microsoft Windows and navigation, mouse, and keyboarding skills.
• Knowledge of explanation of benefits (EOB)
• Knowledge of CPT, ICD-10, and HCPCPS coding
• 6+ months major medical billing or collection 
• Knowledge of benefits verification and prior authorization
• Ability to work any of our 8-hour shift schedules during our normal business hours of 7:30am – 6:00pm CST.

 

Preferred Qualifications:

• 1+ year of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools.
• Experience in Microsoft Excel (create and edit spreadsheets)
• Experience in Microsoft Word (creating, editing, saving, formatting)
• Home Infusion Experience

 

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:

• Strong organizational skills
• Excellent written and oral communications skills
• Must be organized and able to prioritize, plan, and handle multiple tasks/demands simultaneously.
• Demonstrated critical thinking skills.
• Ability to verbally articulate and communicate with manager, team members, and customers.

 

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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