Collections Representative - National Remote

Lensa; Phoenix (AZ); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading company is seeking a Collections Representative for a full-time remote position. This role involves gathering medical records, managing accounts receivable, and providing exceptional customer service. Ideal candidates will have experience in medical insurance collections and strong problem-solving skills. Join a diverse team dedicated to improving health outcomes and advancing health equity.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Qualifications

• 2+ years of Major Medical Insurance Collections or Home infusion billing experience.
• Ability to work Monday - Friday in flexible 8-hour shifts.

Responsibilities

• Gather and create medical record packets for audits and payer requests.
• Develop relationships with payers to obtain remits and resolve issues.
• Provide exceptional customer service to internal and external customers.

Skills

Customer service

Problem-solving

Time management

Education

High School Diploma / GED

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft Teams

Job description

Collections Representative - National Remote

Collections Representative - National Remote

1 day ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

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.

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 7:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 4-8 weeks of on-the-job training. The hours during training will be 7:00am - 7:00pm CST, Monday - Friday. Training will be conducted virtually from your home.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

• Gather and Creating Medical Record Packets due to audits and payer requests
• Log audit requests in Audit Tracking system
• Mail, fax, or upload medical records accurately and efficiently within requested time frames
• Review open AR and prioritize collection activities
• Develop relationships with payers to obtain remits and resolve root causes
• Assure that timely and accurate follow up activity is performed on all invoices
• Responsible for review and documenting of key accounts
• Identify issues / trends and escalate to Supervisor / Manager when assistance is needed
• Identify and document bad debt write - offs and A / R adjustments
• Identifies any overpayments and / or duplicate payments, with investigation and resolution
• Create refund requests, in accordance with policies and procedures
• Ensures secondary claims are accurately generated and submitted on a timely basis
• Evaluates payments / denials received for correctness and ensures they are applied appropriately
• Provide exceptional Customer service to internal and external customers
• Work with offshore partners to ensure that exceptions are being resolved within the designated standard
• Develop relationships with other departments to provide feedback about root cause issues
• Adhere to Regulatory / Payer Guidelines and policies & procedures
• Other duties as assigned
  
  

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
• 2+ years of Major Medical Insurance Collections OR Home infusion billing experience
• Experience using Microsoft Word (edit, create and save documents)
• Experience using Microsoft Excel (editing spreadsheets)
• Experience using Microsoft Outlook (email)
• Experience using Microsoft Teams
• Ability to work Monday - Friday, in any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm CST, including the flexibility to work occasional overtime or weekends, based on the business need
  
  

Preferred Qualifications

• Infusion Pharmacy experience
• Knowledge of NDC, ICD-10, and HIPAA
  
  

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 follow complex processes and create solutions independently
• Ability to multi-task successfully and meet deadlines in a fast-paced environment
• Strong problem-solving capabilities and time management within a fast-paced environment
• Demonstrate a willingness to listen, understand and acknowledge customers, co-workers, leadership and others in a collaborative, respectful and productive manner
• Demonstrate good judgement and professional initiative on all matters come across the desk, whether inside or outside the normal scope of the role
• Reliable and consistent record of attendance
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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 make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  IT Services and IT Consulting

Referrals increase your chances of interviewing at Lensa by 2x

Sign in to set job alerts for “Collections Representative” roles.

Remote Commercial Collections LARGE BALANCE

Medi-Cal Hospital Collections Representative - National Remote

Customer Service Representative - Pharmacy Service Technician - Work From Home (Chandler, AZ)

Customer Service Representative Team Lead - National Remote

Experienced BCBS Insurance Collections Specialist

Inbound Work from Home Customer Service Representative

Remote Student Accounts Collection Advisor

Flood Claims Technical Assistant (Remote/Hybrid)

Central Support Operations Coordinator I - National Remote

Call Center Customer Service Representative

Licensed P&C Customer Service Representative

Chandler, AZ $41,000.00-$73,000.00 1 day ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.