Collections Representative

UnitedHealth Group•Tampa, FL

9h•$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.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
1+ years of experience in hospital/facility collections
1+ years of experience in commercial claim and Medicare collections
Experience working with insurance companies to verify the status of denied claims and ensure timely payment
Experience with Microsoft Office tools including Microsoft Word (creating and writing memos), Microsoft Excel (creating, filtering, and navigating reports in spreadsheets), and Microsoft Outlook (setting calendar appointments and emails)
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. It may be necessary, given the business need, to work occasional overtime
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.
Candidates are required to pass a drug test before beginning employment.

Nice To Haves

Experience with EPIC and/or DDE (Direct Data Entry)
Experience in a Healthcare Revenue Cycle position

Responsibilities

Contact insurance providers to determine reason for payment delinquency, claim errors and delays
Negotiate and advise on collection of overdue / incorrect claims and take appropriate action to recover overdue payments
Handle unresolved billing or collection inquiries / issues
Responsible for adhering to Accounts Receivable and collection practices, policies and procedures
May work with outside legal counsel and / or outside agencies in more complex collection cases
Basic tasks are completed without review by others
Hospital or patient accounting department functions, operations and procedures
Medical terminology, procedure and diagnosis coding sufficient to assess accuracy of patient accounts
Covered insurance benefits, billing requirements and procedures for third party payers and / or Government Payer Programs
Knowledge of UB04 / 1550 claim forms for Medicare, Medicaid, Medi-Cal and other Government Payer Programs.
Operation of online computerized patient accounting systems and / or electronic billing systems
Hospital and patient accounting department functions to include general clerical office practices and procedures
Understanding of HCPCS / CPT and ICD10 Coding, Medicare guidelines and rules
Knowledge of payer contracts, insurance policies and benefit coverage