Collections Representative

UnitedHealth Group•Tampa, FL

3d•$18 - $32•Remote

About The Position

The Collections Representative reviews open accounts receivable and prioritizes collection work, following up on invoices and working with payers to obtain remittance information and resolve underlying issues. The role evaluates payments and denials, handles overpayments and duplicate payments, documents account activity, and supports accurate secondary claim submission and refund requests. The representative provides customer service to internal and external customers, coordinates with offshore partners and other departments, and follows regulatory and payer guidelines and company procedures. This is a full-time, national remote position for 40 hours per week, Monday through Friday. Employees must be flexible to work an assigned eight-hour shift scheduled within normal business hours of 7:00 a.m. to 7:00 p.m. CST. Occasional overtime and weekend work may be necessary. The company provides 90 days of paid virtual training conducted from the employee’s home. Remote employees must maintain a dedicated private work area, secure sensitive company documents, and have access to an approved high-speed internet connection. The role pays $18.00–$32.00 per hour, depending on factors including labor market, education, experience, and certifications. Benefits are subject to eligibility requirements.

Requirements

High school diploma or GED.
Must be at least 18 years old.
At least 1 year of major medical insurance collections or home infusion billing experience.
Experience using Microsoft Word to edit, create, and save documents.
Experience editing spreadsheets in Microsoft Excel.
Experience using Microsoft Outlook for email.
Experience using Microsoft Teams.
Ability to work full time, 40 hours per week, Monday through Friday, with flexibility for an assigned eight-hour shift between 7:00 a.m. and 7:00 p.m. CST; occasional overtime and weekends may be necessary.
Ability to secure sensitive company documents, if applicable, and maintain a dedicated private work area separated from other living areas.
Must live somewhere that can receive a UnitedHealth Group-approved high-speed internet connection or have existing high-speed internet service.
Ability to follow complex processes and independently create solutions.
Ability to multitask and meet deadlines in a fast-paced environment.
Strong problem-solving and time-management capabilities.
Collaborative, respectful, and productive communication with customers, coworkers, leadership, and others; willingness to listen, understand, and acknowledge others.
Good judgment and professional initiative.
Reliable and consistent attendance.
Must adhere to UnitedHealth Group’s Telecommuter Policy if working remotely.
Must pass a drug test before beginning employment.

Nice To Haves

Infusion Pharmacy experience.
Knowledge of EOB (explanation of benefits).
Knowledge of HCPCS, NDC, ICD-10, and HIPAA.

Responsibilities

Review open accounts receivable and prioritize collection activities.
Develop relationships with payers to obtain remittances and resolve root causes.
Ensure timely and accurate follow-up activity on all invoices.
Review and document key accounts.
Identify issues and trends and escalate to a supervisor or manager when assistance is needed.
Identify and document bad-debt write-offs and accounts receivable adjustments.
Identify, investigate, and resolve overpayments and duplicate payments.
Create refund requests in accordance with policies and procedures.
Ensure secondary claims are accurately generated and submitted on time.
Evaluate payments and denials for correctness and ensure they are applied appropriately.
Provide exceptional customer service to internal and external customers.
Work with offshore partners to ensure exceptions are resolved within designated standards.
Develop relationships with other departments to provide feedback about root-cause issues.
Adhere to regulatory and payer guidelines, policies, and procedures.
Perform other duties as assigned.