Remote Healthcare Collections Specialist

UnitedHealth Group; Dallas (TX); Remote; USD 25,000 - 44,000; Full time

Job summary

UnitedHealth Group is seeking a remote Financial Services professional to manage hospital/facility collections and denials from any U.S. location. The role supports 8-hour PST shifts, with training in the first month, and potential overtime as needed.

Responsibilities include reconciliations, appeals, and collaboration with hospital departments to ensure accurate payments and compliance with HIPAA and policies.

Qualifications

• High School Diploma /GED
• Must be 18 years of age OR older
• 1+ years of hospital/facility collections experience, including follow‑up, appeals, and denied claims
• 1+ years of recent experience in follow-up with Medicaid Managed or Medi-Cal Managed Care plans, including handling appeals and denials
• Experience navigating within an insurance portal to work denied hospital claims to resolution
• Experience reviewing and interpreting UB 04 claim forms, including CPT, ICD 10, and HCPCS
• Experience with Microsoft Office Suite - including Microsoft Word, Microsoft Excel, and Microsoft Outlook
• Ability to complete training during the first month between 6:00 AM to 2:30 PM PST, Monday through Friday
• Ability to work an 8-hour shift, Monday through Friday, between 6:00 AM and 5:00 PM PST

Responsibilities

• This position performs collecting, reconciliation, research, correspondence, and independent problem solving.
• Reconciles complex, multi-payment accounts.
• Submits appeal letters on underpaid claims as directed.
• Interprets payer contracts to determine if payment and adjustment is accurate.
• Reviews EOB's for denials, along with posting corrected adjustments in order to balance accounts.
• Identifies needs for process improvements and creating/enhancing processes in the PFS department.

Education

High School Diploma / GED

Tools

Microsoft Office Suite

Job description

UnitedHealth Group is seeking a remote Financial Services professional to manage hospital/facility collections and denials from any U.S. location. The role supports 8-hour PST shifts, with training in the first month, and potential overtime as needed.

Responsibilities include reconciliations, appeals, and collaboration with hospital departments to ensure accurate payments and compliance with HIPAA and policies.