[Hiring] Collections Representative @UnitedHealth Group

Role Description

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

This position is part of the Patient Financial Services AR Recovery Team and is responsible for resolving outstanding payer balances in accordance with regulatory and contractual obligations. The critical tasks of this position include:

• Resolving payer denials by understanding payer policies, contacting the payer, appealing, or resubmitting the claim.
• Understanding and reconciling the open-payer balances in accordance with a payor’s contract.

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 8:00am – 4:30pm EST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities:

• Actively participate in team huddles and meetings by sharing knowledge, requesting information, and recommending process improvements.
• Work closely with peers and leaders to address payer issues or changes that directly impact the accounts receivable.
• Resolve assigned accounts in a timely and accurate manner, maximizing reimbursement in compliance with payer regulations and the department’s policy and procedures.
• Take necessary AR adjustments in accordance with the department’s adjustment policy.
• Meet or exceed the Northern Light Health performance standards as it relates to quality and productivity.
• Request relevant information from appropriate revenue cycle and clinical departments as required by payer.
• Ensure assigned discharged and final billed accounts are not aging and are escalated timely.
• Thoroughly understand the department’s key performance indicators.
• Maintain knowledge of payer policies; complete AAHAM or other healthcare related webinars.
• 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.

Qualifications

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of healthcare back-end revenue cycle experience (billing, collections, or A/R)
• Ability to work full-time, Monday - Friday during normal business hours of 8:00 AM - 4:30 PM EST (Eastern Standard Time zone) based on business need

Preferred Qualifications

• Experience working with Medicare Advantage payers
• Experience working with denied healthcare claims
• Experience working with insurance companies to verify the status of denied claims and ensure timely payment

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

Pay and Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as:

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)

The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.