Remote Healthcare Collections Specialist

UnitedHealth Group; Alaska; Remote; USD 22,000 - 40,000; Full time

Job summary

UnitedHealth Group is seeking a Collections Representative for a national remote role. You will support patient billing, reconciliation, denials, and coordination with hospital departments to ensure accurate payments.

The position requires 1+ year hospital/facility collections experience, Medicaid/Medi-Cal familiarity, and proficiency with UB‑04, CPT, ICD‑10, HCPCS, and Microsoft Office. Training occurs during the first month (6:00 AM–2:00 PM PST), with 8‑hour shifts 6:00 AM–5:00 PM PST.

Qualifications

• High School Diploma or GED required.
• 1+ years hospital/facility collections experience including follow‑up, appeals and denied claims.
• 1+ years of Medicaid/Medi-Cal Managed Care experience including appeals and denials
• Experience navigating an insurance portal to work denied hospital claims to resolution
• Experience reviewing UB 04 claim forms, CPT, ICD 10, HCPCS
• Proficiency with Microsoft Office (Word, Excel, Outlook)
• Must be able to train during first month 6:00 AM to 2:30 PM PST
• Able to work a full 8‑hour shift Monday–Friday 6:00 AM–5:00 PM PST

Responsibilities

• Perform collecting, reconciliation, research, correspondence, and problem solving.
• Reconcile complex, multi‑payment accounts.
• Submit appeal letters on underpaid claims as directed.
• Interpret payer contracts to determine payment and adjustments.
• Review EOBs for denials and post adjustments to balance accounts.
• Identify process improvement needs within PFS and assist with changes.
• Promote teamwork within the department and with other staff.
• Coordinate with hospital departments for proper coding and billing procedures.
• Follow HIPAA and departmental policies and procedures.
• Provide excellent customer service to patients, government agencies, and insurers.
• Work with payors, remits, and company policies to maximize reimbursement.
• Research payments/denials to find short/over payments and contract discrepancies
• Build relationships with business units and provider offices
• Communicate payment issues trends to internal/external customers

Skills

Hospital collections

Medicaid/Medi-Cal experience

Insurance portal navigation

UB-04 claim forms knowledge

Microsoft Office

Training during first month

Shift availability

Education

High School Diploma or GED

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

UnitedHealth Group is seeking a Collections Representative for a national remote role. You will support patient billing, reconciliation, denials, and coordination with hospital departments to ensure accurate payments.

The position requires 1+ year hospital/facility collections experience, Medicaid/Medi-Cal familiarity, and proficiency with UB‑04, CPT, ICD‑10, HCPCS, and Microsoft Office. Training occurs during the first month (6:00 AM–2:00 PM PST), with 8‑hour shifts 6:00 AM–5:00 PM PST.