Collections Representative

Change Healthcare•Dallas, TX

31d•$18 - $32•Remote

About The Position

This position is Remote in CST or EST. You will have the flexibility to work remotely 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're a dynamic partnership formed by Quest and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. 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 CST. It may be necessary, given the business need, to work occasional overtime or at weekends. This will be on the job training and the hours during training will be normal business hours, Monday - Friday.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
2+ years of medical collections and/or medical billing experience
1+ years of experience working with insurance companies on denied healthcare claims
Computer & phone skills, including working knowledge of MS Windows and navigation, mouse and keyboarding skills
Intermediate level of Microsoft Excel (data entry, sorting/filtering)
Intermediate level of Microsoft Word (creating and editing documents)
Ability to work 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 8:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.

Nice To Haves

Knowledge of full version Adobe (creating and editing documents)
Medical claims experience
Medicare, Medicaid, BCBS collections experience
EOB experience
Reside within Central OR Eastern Time Zone
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.

Responsibilities

Perform research on assigned payer guidelines when processing appeals, corrected claims or denial reasons
Stay up to date on all payer requirements and changes
Comply with departmental Business Rules and Standard Operating Procedures
Focus efforts on decreasing the Accounts Receivable, increasing cash, and / or reducing bad debt
Interpret explanation of benefits for appropriate follow up action
Utilize automation tools to verify eligibility, claim status and / or to obtain better billing information
Create work list through databases and manipulate data to analyze for trends and resolve claims for adjudication
Review and research denied claims by navigating multiple computer systems and platforms, to accurately capture data / information for processing
Communicate and collaborate with members or providers to evaluate claims errors / issues, using clear, simple language to ensure understanding
Work on various other projects as assigned/needed
Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance