Major Medical Collections Representative

UnitedHealth Group • Dallas, TX

276d • $16 - $33 • Remote

About The Position

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Major Medical Collections Representative your primary function will be major medical insurance collections. You will be contacting payers regarding outstanding accounts receivables. Handling unresolved inquiries/issues. Responsible for adhering to collections process and maintaining and organization policies on collection practices. 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 7:30am - 6:00pm CST. It may be necessary, given the business need, to work occasional overtime. We offer on-the-job paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

• High School Diploma / GED
• Must be 18 years of age OR older
• 6+ months of major medical billing OR collection experience
• Knowledge of explanation of benefits (EOB)
• Knowledge of CPT, ICD-10, and HCPCPS coding
• Computer skills, including working knowledge of Microsoft Windows and navigation, mouse and keyboarding skills
• Ability to work any of our 8-hour shift schedules during our normal business hours of 7:30am - 6:00pm CST, including the flexibility to work occasional overtime, based on the business need

Nice To Haves

• 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Home Infusion experience
• Experience with Microsoft Excel (create and edit spreadsheets)
• Experience with Microsoft Word (creating, editing, saving and formatting)
• Knowledge of benefits verification and prior authorization

Responsibilities

• Analyzes daily denial management correspondence to appropriately resolve issues
• Reviews and resolves accounts assigned via work lists daily as directed by supervisor
• Ability to communicate effectively in written and oral form
• Ability to multitask and function in a fast-paced environment
• Ability to prioritize and problem-solve
• Research root cause to report to Supervisor
• Identify payer performance trends at the payer level
• Capable of navigating payer portal
• Identifies bad debt write-offs and adjustments
• Process refunds as identified to meet payer guidelines
• Adheres to regulatory/payer guidelines and policies and procedures
• Provides exceptional customer service to internal and external customers
• Other duties as assigned

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED