Collections Representative

UnitedHealth Group • Tampa, FL

2d • $18 - $32 • Remote

About The Position

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 role resolves payer denials by understanding payer policies, contacting payers, appealing or resubmitting claims, and reconciling open-payer balances in accordance with payer contracts.

The position is full-time, Monday through Friday, with flexibility to work any assigned eight-hour shift during normal business hours of 8:00 a.m. to 4:30 p.m. EST. Occasional overtime may be necessary based on business needs. Four weeks of on-the-job training are provided, aligned with the employee’s schedule.

This is a national remote position. Remote employees must secure company-sensitive documents, maintain a dedicated work area that provides information privacy, have access to a UnitedHealth Group-approved high-speed internet connection or existing high-speed internet service, and comply with the company’s Telecommuter Policy. The hourly pay range is $18–$32, based on full-time employment and factors including labor market, education, work experience, and certifications. Benefits include a comprehensive benefits package, incentive and recognition programs, an equity stock purchase plan, and 401(k) contribution, subject to eligibility requirements.

Requirements

• High school diploma or GED.
• Must be at least 18 years old.
• At least 1 year of healthcare back-end revenue cycle experience in billing, collections, or accounts receivable.
• Ability to work full-time, Monday through Friday, during normal business hours of 8:00 a.m. to 4:30 p.m. EST, based on business needs.
• Ability to secure company-sensitive documents, if applicable.
• A dedicated work area separated from other living areas that provides information privacy.
• Must live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or have existing high-speed internet service.
• Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.

Nice To Haves

• Experience working with Medicare Advantage payers.
• Experience working with denied healthcare claims.
• Experience working with insurance companies to verify denied-claim status and ensure timely payment.

Responsibilities

• Participate in team huddles and meetings by sharing knowledge, requesting information, and recommending process improvements.
• Work with peers and leaders to solve payer issues or changes that directly affect accounts receivable.
• Resolve assigned accounts promptly and accurately to maximize reimbursement while complying with payer regulations and departmental policies and procedures.
• Make accounts receivable adjustments in accordance with the department’s adjustment policy.
• Meet or exceed Northern Light Health performance standards for quality and productivity.
• Request relevant information from appropriate revenue cycle and clinical departments as required by payers.
• Ensure assigned discharged and final-billed accounts do not age and are escalated in a timely manner.
• Understand the department’s key performance indicators.
• Maintain knowledge of payer policies and complete AAHAM or other healthcare-related webinars.
• Perform other duties as assigned.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs, subject to eligibility requirements.
• Equity stock purchase plan, subject to eligibility requirements.
• 401(k) contribution, subject to eligibility requirements.
• Four weeks of on-the-job training.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED