Medical Collector – El Segundo, CA

If you are located within commutable distance to El Segundo, CA, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

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 6:00am – 6:00pm. It may be necessary, given the business need, to work occasional overtime.

Our office is located at 19191 S. Vermont Aven, El Segundo, CA. Employees will be required to work 1 – 2 days onsite and remainder days from home.

We offer 1 week of paid training. The hours during training will be 6:00am – 6:00pm, Monday – Friday. Training will be conducted onsite.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care and concern with each and every internal and external customer
• Documents calls as clearly and precisely at the time of call
• Maintains department productivity standards: 42 accounts daily
• Performs collection activities on assigned work files according to department procedures
• Maintains proper aging of accounts receivable
• Performs precise audits of patient accounts to ensure accuracy of charges, payments and adjustments
• Monitors payments to ensure payers conform to agreed fee schedules.  Contacts patients and insurance carriers regarding delinquent accounts
• Demonstrates special ability in dealing with patients regarding sensitive financial matters and recapturing unpaid balances
• Negotiates payment plans
• Identifies delinquent accounts for assignment to outside collection agencies
• 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
• Claims Management:
• Reviewing and submitting insurance claims.
• Ensuring that claims are accurate and complete to avoid denials.
• Following up on unpaid or denied claims and resubmitting them when necessary.
• Payment Collection:
• Contacting patients and insurance companies to collect outstanding balances.
• Setting up payment plans for patients who cannot pay the full amount at once.
• Ensuring that payments are received and accurately recorded.
• Account Reconciliation:
• Monitoring patient accounts to ensure payments are applied correctly.
• Reconciling accounts to resolve discrepancies.
• Reviewing accounts for any unpaid balances or errors and taking corrective actions.

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
• 1+ years of medical collection experience within the last 2 years
• 1+ years of experience with Account Reconciliation
• 1+ years of experience in professional billing/collections
• Experience with multi-specialties (ie surgical/procedures).
• Experience with CPT/ICD-10 coding
• Knowledge of HCFA requirements
• Working knowledge of contracted insurance plans
• Working knowledge of current state and federal laws governing collections
• Proficiency with Microsoft Office including Microsoft Outlook, Microsoft Excel, Microsoft Word, etc.
• Ability to work in a hybrid role (remote and 1-2x per week in our El Segundo office)
• Ability to work any of our 8-hour shift schedules during our normal business hours of 6:00am – 6:00pm. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• 1+ years of experience in a medical collections role
• Knowledge of California industrial fee schedule billing requirements
• Bilingual fluency in English / Spanish

Telecommuting Requirements:

• Reside within commutable distance of  El Segundo, CA
• 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

California Residents Only: The hourly range for this is $16.00 – $28.27 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.

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.

#RPO