Collections Representative

UnitedHealth Group•Tampa, FL

3h•$18 - $32•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. This position is part of the Patient Financial Services AR Recovery Team and is responsible for resolving outstanding payer balances in accordance with regulatory and contractual obligations. The critical tasks of this position include resolving payer denials by way of understanding payer policies, contacting the payer, appealing, or resubmitting the claim. Critical tasks also include understanding and reconciling the open-payer balances in accordance with a payor’s contract.

Requirements

High School Diploma/GED
Must be 18 years of age OR older
1+ years of healthcare back-end revenue cycle experience (billing, collections, or A/R)
Experience working with denied healthcare claims
Experience working with insurance companies to verify the status of denied claims and ensure timely payment
Ability to work full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 4:30 PM EST (Eastern Standard Time zone) based on business need

Nice To Haves

Experience working with Medicare Advantage payers

Responsibilities

Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements.
Work closely by way of problem solving with peers and leaders to address payer issues or changes that directly impact the accounts receivable.
Resolve assigned accounts in a timely and accurate manner, which maximizes reimbursement in compliance with payer regulations and the department’s policy and procedures.
Take necessary AR adjustments in accordance with the department’s adjustment policy.
Meet or exceed the Northern Light Health performance standards as it relates to quality and productivity.
Request relevant information from appropriate revenue cycle and clinical departments as required by payer.
Ensure assigned discharged and final billed accounts are not aging and are escalated timely.
Thoroughly understand the department’s key performance indicators.
Maintain the knowledge of payer policies; complete AAHAM or other healthcare related webinars.
Other duties as assigned.