[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 full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 4:30 pm MST. It may be necessary, given the business need, to work occasional overtime.

This will be on the job training and the hours during training will be during normal business hours.

Primary Responsibilities:

• Handle escalated and complex facility insurance claims, helping to provide resolution and settlement of account.
• Contact insurances through a variety of methods (e-mail, form letters, web portals, and phone calls) to discuss, negotiate payment and resolve outstanding medical bill accounts and balances.
• Send detailed appeals to dispute insurance denials.
• Perform research on various computer systems and document claim information regarding current status, payment expectations, notes of conversations and other relevant information.
• Reconcile, balance and pursue account balances and payments.
• Use mail, email and phones to contact insurance companies to discuss and resolve outstanding medical bill accounts and balances.
• Obtain agreement on potential balance payoff and/or payment terms within stated level of authority and guideline limits.
• Prepare and submit reports to internal management for escalation of outstanding medical bills.
• Perform additional responsibilities as needed.

This is a challenging role that requires providing best in class service to our customers during their times of difficulty. It’s a fast-paced environment that requires focus and ability to multi-task throughout the day.

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 hospital / facility follow up collections experience.
• 1+ years of experience managing hospital / facility appeals and denied claims, including navigating insurance payer portals to investigate, resolve, and secure reimbursement for denied hospital claims.
• Experience reviewing and reading UB-04 claim forms.
• Knowledge of and experience with medical terminology.
• Proficient with Microsoft Office Suite - including Microsoft Excel, Microsoft Word, and Microsoft Outlook.
• Ability to work Monday - Friday, 8:00 am - 4:30 pm MST.

Preferred Qualifications

• 2+ years of experience working in healthcare insurance.
• Working knowledge of ICD-10 and CPT / HCPCS.

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.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 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.

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.