Collections Representative

UnitedHealth Group; Hartford (CT); Remote; USD 25,000 - 44,000; Full time

Job summary

UnitedHealth Group's Optum Insight is hiring a Billing Specialist for premium billing and hospital claim workflows in a national remote role. You’ll work 40 hours per week, with 8-hour CST shifts and occasional overtime, supported by comprehensive training during normal hours.

You’ll gather support data, resolve billing discrepancies, monitor balances, prepare invoices, and reconcile with accounts receivable.

Qualifications

• High School Diploma or GED.
• Must be 18 years of age or older.
• 1+ years of experience managing hospital/facility appeals and denied claims, including payer portals to investigate, resolve, and secure reimbursement for denied hospital claims.
• 1+ years of experience in hospital follow up/collections.
• 1+ years of experience with hospital patient accounting OR hospital patient financial services.
• Recent experience in billing with UB04.
• Proficiency with Windows PC applications and navigating multiple programs and systems.
• Ability to work any 8-hour shift within 8:00 AM–5:00 PM CST.

Responsibilities

• Interact with customers to gather support data to ensure invoice accuracy and work through specific billing discrepancies.
• Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function.
• Monitor outstanding balances and take appropriate actions to ensure clients pay as billed.
• Manage the preparation of invoices and complete reconciliation of billing with accounts receivables.

Skills

Billing appeals

Hospital follow up

UB04 billing

Hospital accounting

Windows PC applications

Education

High School Diploma / GED

Job description

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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules 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.

This will be on the job training and the hours during training will be during normal business hours.

Primary Responsibilities:

• Interact with customers to gather support data to ensure invoice accuracy and work through specific billing discrepancies
• Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function
• Monitor outstanding balances and take appropriate actions to ensure clients pay as billed
• Manage the preparation of invoices and complete reconciliation of billing with accounts receivables

What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you'll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of experience managing hospital/facility appeals and denied claims, including navigating insurance payer portals to investigate, resolve, and secure reimbursement for denied hospital claims
• 1+ years of experience in hospital follow up/collections
• 1+ years of experience with hospital patient accounting OR hospital patient financial services
• Recent experience in billing with UB04
• Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
• Ability to work any 8-hour shift schedule (40 hours / week) within the operating hours of 8:00 AM - 5:00 PM CST

Preferred Qualifications:

• Experience with Medicare Part A & B

Telecommuting Requirements:

• 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

Soft Skills:

• Ability to multi - task and to understand multiple products and multiple levels of benefits within each product

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.