Collections Representative - National Remote

Lensa; Tampa (FL); Remote; USD 10,000 - 60,000; Full time

Job summary

Join a leading company as a Collections Representative, where you will play a critical role in managing pharmacy claims. This full-time position allows for remote work and offers a supportive culture focused on career development. Your expertise in customer service and pharmacy claims will help improve health outcomes for communities. Enjoy comprehensive benefits and a rewarding environment that values your contributions.

Benefits

Comprehensive benefits package

Paid training

401k contribution

Incentive and recognition programs

Qualifications

• 1+ years of experience in pharmacy claim adjudication or collections.
• 1+ years in a customer service call center within healthcare.
• Intermediate skills in Microsoft Excel and Outlook.

Responsibilities

• Review open AR and prioritize pharmacy claim activities.
• Develop relationships with payers to resolve claim issues.
• Provide exceptional customer service and resolve inquiries.

Skills

Attention to detail

Customer service skills

Conflict management skills

Communication skills

Empathetic customer service

Education

High School Diploma / GED

Tools

Microsoft Excel

Microsoft Outlook

Job description

Collections Representative - National Remote

Collections Representative - National Remote

1 day ago Be among the first 25 applicants

Lensa partners with DirectEmployers to promote this job for UnitedHealth Group.

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5:30pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of paid training. The hours of the training will be based on 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.

Primary Responsibilities

• Review open AR and prioritize pharmacy claim activities
• Develop relationships with payers to obtain claim requirements and resolve root causes
• Assure that timely and accurate follow up activity is performed on all pharmacy claims that are not paid within 45 days of submission
• Responsible for review and documenting of key accounts
• Identify issues/trends and escalate to Supervisor/Manager when assistance is needed
• Answer incoming calls on an inbound phone queue from patients or their representative, regarding patient bill balances, payment plans, credit card payment, patient pricing, re-billing insurance companies, copay assistance programs and general customer concerns
• Process payments, adjustments, refunds, and transfer payments
• Evaluate and respond to email requests regarding patient billing inquiries
• Research, troubleshoot and resolve complex billing issues and customer complaints, taking all steps to resolve and ensure full resolution
• Use email, and phones to contact customers to discuss, negotiate payment and resolve outstanding pharmacy accounts and balances
• Obtain agreement and potential balance payoff and/or payment terms within stated level of authority and guideline limits
• Develop relationships with other departments to provide feedback about root cause issues
• Provide exceptional customer service to internal and external customers
• 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
• 1+ years of experience with pharmacy claim adjudication or pharmacy claim collections accounts receivable OR 1+ years Optum Specialty Pharmacy / Drugs experience
• 1+ years of experience performing multiple concurrent tasks with strong attention to detail
• 1+ years of experience working in a customer service call center in the healthcare industry
• 1+ years of intermediate-level skills in Microsoft Excel, including tasks such as opening workbooks, inserting rows, adjusting font styles and sizes, sorting data, applying filters, creating pivots
• Proficiency in Microsoft Outlook, including composing, sending, and replying to emails
• Ability to work any 8-hour shift during normal business hours between 8:00am – 5:30pm CST, Monday - Friday
  
  

Preferred Qualifications

• Specialty Pharmacy experience
• Customer service experience analyzing and solving customers’ concerns
• Pharmacy billing experience
• Experience working with or billing copay assistance programs
  
  

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 listen skillfully, collect relevant information, build rapport, and respond to customers in a compassionate manner
• Proficient conflict management skills including the ability to resolve stressful situations
• Proficient with de-escalation
• Exceptional communication skills
• Empathetic customer service skills
• 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

If you have questions about this posting, please contact [e-mail]

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

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