Reimbursement Specialist - Patient Collections

UnitedHealth Group•Tampa, FL

2d•$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 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. The Patient Collections Representative is responsible for analyzing insurance documents, processing reimbursement claims, collecting on patient accounts and releasing accurate billing statements for patient and insurance claims. To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform essential functions.

Requirements

High School Diploma / GED OR 2+ years of equivalent working experience
Must be 18 years of age OR older
2+ years of experience in claims recovery and resolution
2+ years of medical billing and/or medical collections experience
Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
Ability to work full-time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedule during our normal business hours of 8:00 AM - 5:00 PM CST. 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

Nice To Haves

2+ years of experience in infusion therapy or related healthcare services
Adobe PDF experience
Microsoft Excel, Microsoft Outlook, Microsoft Word proficiency
Ability to navigate through several technical platforms simultaneously

Responsibilities

Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities
Position will handle inbound and outbound calls, from patients and payors, regarding claims and/or account balances
Prepares and reviews insurance claims prior to billing
Analyze and identify trends and provides reports as necessary
Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
Other duties as assigned