Collections Representative - National Remote

Optum; Dallas (TX); Remote; Full time

Job summary

A leading company in healthcare is seeking a Collections Representative to join its National Remote team. This full-time role involves resolving payer denials and managing accounts receivable. The position offers flexibility to telecommute and provides comprehensive benefits. Join us to make a meaningful impact on health outcomes while advancing your career in a supportive environment.

Benefits

Comprehensive benefits

Incentive programs

Stock purchase options

401k contributions

Qualifications

• At least 1 year of healthcare back-end revenue cycle experience.
• Experience with denied healthcare claims and insurance verification.

Responsibilities

• Resolve outstanding payer balances in line with obligations.
• Collaborate with peers to solve payer issues affecting accounts receivable.
• Achieve performance standards related to quality and productivity.

Skills

Healthcare Revenue Cycle

Problem Solving

Education

High School Diploma or GED

Job description

Collections Representative - National Remote

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. We foster a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Join us to make an impact on the communities we serve as we advance health equity globally. Our motto: Caring. Connecting. Growing together.

This position is part of the Patient Financial Services AR Recovery Team, responsible for resolving outstanding payer balances in line with regulatory and contractual obligations. Key tasks include resolving payer denials by understanding payer policies, contacting payers, appealing, or resubmitting claims. It also involves understanding and reconciling open payer balances according to payor contracts.

This is a full-time role, Monday to Friday, with work hours from 8:00 AM to 4:30 PM EST. Training will be conducted virtually from home over four weeks, with hours during training also from 8:00 AM to 4:30 PM EST. Employees have the flexibility to telecommute from anywhere within the U.S.

Primary Responsibilities

• Participate in team huddles and meetings, sharing knowledge and suggesting process improvements
• Collaborate with peers and leaders to solve payer issues affecting accounts receivable
• Resolve assigned accounts promptly and accurately, maximizing reimbursement in compliance with payer regulations
• Make necessary AR adjustments following departmental policies
• Achieve or surpass performance standards related to quality and productivity
• Request relevant information from revenue cycle and clinical departments as needed
• Ensure accounts are not aging and escalate issues timely
• Understand and monitor department KPIs
• Maintain knowledge of payer policies; complete relevant webinars (e.g., AAHAM)
• Perform other duties as assigned

Required Qualifications

• High School Diploma or GED
• Must be 18 years or older
• At least 1 year of healthcare back-end revenue cycle experience (billing, collections, or A/R)
• Experience working with denied healthcare claims and insurance companies to verify claim status and ensure timely payments
• Availability to work Monday to Friday, 8:00 AM to 4:30 PM EST

Preferred Qualifications

• Experience with Medicare Advantage payers

Telecommuting Requirements

• Ability to keep sensitive documents secure
• Dedicated, private work area at home
• High-speed internet connection compliant with company standards
• Adherence to UnitedHealth Group’s Telecommuter Policy

The hourly wage ranges from $16.88 to $33.22, depending on factors like location, experience, and certifications. Benefits include comprehensive packages, incentive programs, stock purchase options, and 401k contributions. The application will remain open for at least two business days or until sufficient candidates are found.

Our mission: helping people live healthier lives and making the health system work better for everyone. We are committed to equity, environmental sustainability, and addressing health disparities, ensuring fair treatment regardless of race, gender, or background. UnitedHealth Group is an equal opportunity employer and a drug-free workplace, requiring a pre-employment drug test.