Medi-Cal Hospital Collections Representative - National Remote

Lensa; Orlando, Tampa (FL, FL); Remote; Full time

Job summary

A leading healthcare organization is seeking a Medi-Cal Hospital Collections Representative for a remote position. This role involves billing, claims follow-up, and customer communication. Ideal candidates will have experience in hospital collections and Medi-Cal plans. Join us to make a positive impact on health outcomes while enjoying comprehensive benefits and a flexible work environment.

Benefits

Comprehensive benefits

Incentives

Stock purchase options

401k contributions

Qualifications

• 1 year of Hospital Medical Collections experience required.
• 6 months experience with Medi-Cal/Managed Care Plans preferred.

Responsibilities

• Billing according to Medi-Cal/Managed Care Plans guidelines.
• Follow up with Medi-Cal/Managed Care regarding outstanding claims.
• Prepare and submit reports on outstanding bills.

Skills

Hospital Medical Collections

Medi-Cal/Managed Care Plans

Claims Follow-up

Customer Communication

Microsoft Windows

Tools

UB04 form

EPIC software

Job description

Medi-Cal Hospital Collections Representative - National Remote

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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, a global organization, delivers care aided by technology to help millions live healthier lives. Your work will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need. Our culture is guided by diversity and inclusion, with talented peers, comprehensive benefits, and career development opportunities. Join us to make an impact on the communities we serve and help advance health equity globally. Start Caring. Connecting. Growing together.

This full-time position is Monday - Friday, with work hours from 8:00am to 4:30pm PST, flexible for team meetings. Occasional overtime may be required.

We offer 4 weeks of on-the-job training during normal business hours. Telecommuting is permitted from anywhere within the U.S.

Primary Responsibilities

• Billing according to Medi-Cal/Managed Care Plans (California) guidelines
• Follow up directly with Medi-Cal/Managed Care regarding outstanding claims
• File appeals directly with Medi-Cal/Managed Care
• Research customer information on various systems regarding status and payments
• Contact customers via mail, email, and phone to discuss and negotiate payments
• Obtain agreement on payment plans within authority and guidelines
• Prepare and submit reports on outstanding bills and payment settlements
• Record correspondence and actions within relevant systems
• Maintain strong knowledge of Medi-Cal/Managed Care account resolution and regulatory requirements
• Understand Coordination of Benefits for primary and secondary payers

We recognize performance and provide development opportunities in a challenging environment.

Required Qualifications

• Must be 18+ years old
• At least 1 year of Hospital Medical Collections experience
• Minimum 6 months experience with Medi-Cal/Managed Care Plans (California)
• Experience with Medi-Cal/Managed Care claims follow-up
• Experience contacting insurance companies for claim status and payments
• Experience using a UB04 form
• Proficiency with Microsoft Windows and basic computer skills
• Availability to work Monday - Friday, 8:00am - 4:30pm PST, with flexibility for meetings and occasional overtime

Preferred Qualifications

• Knowledge of EPIC software

Telecommuting Requirements

• Secure handling of sensitive documents
• Dedicated, private work area at home
• High-speed internet connection
• Adherence to UnitedHealth Group’s Telecommuter Policy

The hourly pay range is $16.88 to $33.22, based on experience and location. Benefits include comprehensive packages, incentives, stock purchase options, and 401k contributions.

Application deadline is at least 2 business days from posting, subject to early removal due to volume.

UnitedHealth Group is committed to diversity, equity, and inclusion, and is an Equal Opportunity Employer. They maintain a drug-free workplace requiring a pre-employment drug test.