Position Description:If you are looking for a way to help others, while you put your customer service skills to good use, this may be the career for you. As a Collections Representative at Optum360, a fast - paced, high growth company within UnitedHealth Group, you will be contacting and consulting with patients and / or their families who have outstanding medical bills. You'll consult directly with our customers to identify reasons for late payments and set up payment plans that are mutually agreeable. Your ability to communicate, persuade and convey payment urgency is critical to the overall success of our company. Your work will not only impact the bottom line, but it will also make a difference in the lives of our customers, greatly reducing their financial burden. At the end of the day, you'll know you are doing your life's best work(sm).Primary Responsibilities:Contacts customers through a variety of methods (email, form letters and phone calls) to discuss, negotiate payment and resolve outstanding medical bill accounts and balancesObtains agreement, after discussion with customer, on potential balance payoff and / or payment terms within stated level of authority and guideline limitsPerforms research and documents on various computer systems customer information regarding current status, payment expectations, notes of conversations and other relevant informationPrepares and submits reports to internal management on status of outstanding medical bills and proposed / planned payment settlement detailsMay in some instances transfer settlement of account and related information to external collection agencies and remains in contact with them regarding further payment activityThe Collector is responsible for performing the collection functions within a payer team in the Patient Financial Services unit of Dignity Health - PhoenixThe primary purpose of this position is to provide self - pay and third party payer collection activities for the Dignity Health member hospitalsThe position works in a cooperative team environment to provide value to customers (internal or external)The Collector maintains thorough and detailed knowledge of collection laws and third party payer claims processing and ensures compliance with state laws regarding all cash processes as evident through cash collectionsDemonstrates an understanding of state insurance laws and the various appeals processes including but not limited to Insurance Commission filingsDemonstrates an understanding of benefits requirements, online claims editing, submission, and reconciliation proceduresThis position will perform re - billing functions as appropriate and exhibits knowledge of UB92 and 1500 bill forms and filing requirements and will function as a subject matter expert in assisting Customer Service and Collection Team Members as well as other payer team membersContinually seeks to understand and act upon customer needs, concerns, and prioritiesMeets customer expectations and requirements, and gains customer trust and respectModerate work experience within own functionSome work is completed without established proceduresBasic tasks are completed without review by othersSupervision / guidance is required for higher level tasks
Required Qualifications:High School Diploma / GED OR 3+ years of equivalent experience in Healthcare Collections1+ years of Healthcare Collections experience.Preferred Qualifications:Knowledge of benefits requirements, on-line claims editing, submission, and reconciliation procedures.Experience with re - billing functions as appropriate and exhibits knowledge of UB92 and 1500 bill forms and filing requirements.Experience in assisting Collection Team Members as well as other payer team.Experience with coding requirements and Medicaid regulations.Careers with Optum360. At Optum360, we're on the forefront of health care innovation. With health care costs and compliance pressures increasing every day, our employees are committed to making the financial side more efficient, transferable and sustainable for everyone. We're part of the Optum and UnitedHealth Group family of companies, making us part of a global effort to improve lives through better health care. In other words, it's a great time to be part of the Optum360 team. Take a closer look now and discover why a career here could be the start to doing your life's best work.SM Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Keywords: Optum, OptumInsight, Optum 360, collections, Medicaid, denials, claims, insurance, medical collections
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.