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.
The Hospital Collections Representative is experienced and has consistently exceeded performance standards in the past. Hospital Collections Representative assists other staff when issues arise, provides on the job education to staff when needed, and works with the Supervisor Hospital Follow - Up and IT to troubleshoot issues and provide feedback for system improvement.
This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 7:00 AM - 3:30 PM PST. It may be necessary, given the business need, to work occasional overtime.
We offer 2 weeks of paid on-the-job training. The hours of training will be 8:00 AM - 4:30 PM PST.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Patient Accounts - Unpaid Accounts
- Perform daily, systematic reviews of unpaid accounts for the appropriate government, managed care, or commercial source in the assigned accounts receivable, identifying the correct responsible party for any unpaid balances
- Patient Accounts - Payment Problems
- Contact identified payer sources to resolve problems or issues with payment release
- Patient Accounts - Payments / Complex
- Focus attention on payers with complex follow - up requirements, accounts with high dollar balances, aged accounts, and other advanced follow - up scenarios
- Patient Accounts - Third Party
- Transmit required documentation to third party payers for the purpose of resolving payments
- Patient Accounts - Database
- Ensure all payer contact is fully documented in the appropriate software application
- Payments - Administration
- Monitor payments for accuracy and timeliness, contacting payers to resolve outstanding amounts and reporting ongoing problems and issues to the unit supervisor
- Patient Accounts - Insurance
- Ensure claims are crossed over to secondary insurances, reporting any delay in unbilled secondary claims to the unit supervisor
- Collections - Administration
- Utilize Government and Commercial regulatory guidelines for collection of outstanding accounts
- Payments -Appeal Process
- Follow appropriate appeal processes for assigned denials
- Patient Accounts - Write - offs
- Recommend accounts for contractual or administrative write - off, along with appropriate justification and documentation
- Work Standards & Practices - Insurance Payments
- Consistently exceed the current productivity standards in collecting and resolving delayed payments from insurance companies by contacting assigned payers
- Work Assignment - Collections / Payments
- Consistently exceed the current quality standards in collecting and resolving delayed payments from
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
- 2+ years of Hospital follow - up / collection experience
- 2+ years of EPIC Resolute Hospital Billing experience
- Experience in working with insurance payors and following up on outstanding claims
- Experience with collecting high - dollar claims
- Knowledge of Government and Managed Care - Contracts and Appeal Process
- Basic knowledge of medical terminology
- Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
- Ability to work any of our shift schedules during our normal business hours of 7:00 AM - 3:30 PM PST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime.
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
*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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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