Remote Healthcare Collections Specialist

Able Too Work; Minneapolis (MN); Remote; USD 22,000 - 40,000; Full time

Job summary

UnitedHealth Group is seeking a Billing Specialist to join the patient financial services team in a fully remote capacity across the U.S. The role covers end-to-end collections, appeals, denials and reconciliation, with training during the first month and an 8-hour shift Monday through Friday.

Ideal candidates have basic high school education, 1+ year hospital collections experience, and proficiency with MS Office. Ability to work PST hours is required.

Qualifications

• High School Diploma / GED
• 18 years or older
• 1+ years hospital/facility collections experience, including follow-up, appeals, and denied claims
• 1+ years of follow-up experience with Medicaid Managed or Medi-Cal Managed Care plans, including handling appeals and denials
• Experience navigating 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 - Word, Excel, Outlook
• Ability to train during first month 6:00 AM to 2:30 PM PST, Monday through Friday
• Ability to work an 8-hour shift, Monday through Friday, 6:00 AM to 5:00 PM PST

Responsibilities

• Collecting, reconciliation, research, correspondence, and independent problem solving
• Reconciles complex, multi-payment accounts
• Submits appeal letters on underpaid claims
• Interprets payer contracts to determine payment accuracy
• Reviews EOBs for denials and posts adjustments to balance accounts
• Identifies needs for process improvements in PFS
• Promotes teamwork within department and with other staff
• Works with hospital departments for proper coding and billing procedures
• Complies with HIPAA and departmental policies
• Provides excellent customer service to patients, government agencies and insurers
• Balances accounts daily to determine underpayment/overpayment
• Coordinates with staff to ensure correct processing
• Manages payments, adjustments, claims, denials, and payment plans as needed

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

UnitedHealth Group is seeking a Billing Specialist to join the patient financial services team in a fully remote capacity across the U.S. The role covers end-to-end collections, appeals, denials and reconciliation, with training during the first month and an 8-hour shift Monday through Friday.

Ideal candidates have basic high school education, 1+ year hospital collections experience, and proficiency with MS Office. Ability to work PST hours is required.