Employer: UnitedHealth Group
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Energize your career with one of Healthcare’s fastest growing companies.
You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
This opportunity is with one of our most exciting business areas: Optum a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
Collections Representative is responsible for the accurate and timely response to denials received. Researching and resolving denials from upstream issues through receiving payment on the claim. Ability to work through various scenarios independently.
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 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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
Required Qualifications:
- High School Diploma / GED (or higher)
- Knowledge of explanation of benefits (EOB)
- Knowledge of CPT, ICD-10, and HCPCPS coding
- Billing and Collection experience
- Knowledge of benefits verification and prior authorization
- Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications:
- Experience in Microsoft Excel (create and edit spreadsheets)
- Experience in Microsoft Word (creating, editing, saving, formatting)
- Home Infusion Experience
Telecommuting Requirements:
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Ability to keep all company sensitive documents secure (if applicable)
- 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 Skill:
- Strong organizational skills