If you are looking for a way to help others,while you put your customer service skills to good use, this may be the careerfor you. As a Medical Collection Representative at Optum360, a fast-paced, highgrowth company within UnitedHealth Group, you will be contacting and consultingwith patients and/or their families who have outstanding medical bills. You'llconsult directly with our customers to identify reasons for late payments andset up payment plans that are mutually agreeable. Your ability to communicate,persuade and convey payment urgency is critical to the overall success of ourcompany. Your work will not only impact the bottom line, but it will also makea difference in the lives of our customers, greatly reducing their financialburden. At the end of the day, you'll know youare doing your lifes best work(sm).This position is full-time (40 hours/week) with our site Hours of Operationfrom 10:00 am - 7:00 pm or 11:00 am - 8:00 pm with one Saturday per month (8:00am - 2:30 pm.) We do require our employees to be flexible enough to work anyshift, any day of the week during those hours.Primary Responsibilities:Contactscustomers through a variety of methods (e-mail, form letters and phone calls)to discuss, negotiate payment and resolve outstanding medical bill accounts andbalancesObtainsagreement, after discussion with customer, on potential balance payoff and/orpayment terms within stated level of authority and guideline limitsPerformsresearch and documents on various computer systems customer informationregarding current status, payment expectations, notes of conversations andother relevant informationPreparesand submits reports to internal management on status of outstanding medicalbills and proposed/planned payment settlement detailsMayin some instances transfer settlement of account and related information toexternal collection agencies and remains in contact with them regarding furtherpayment activity Maintainsand reconciles records of outstanding receivables. Performsvarious billing, collection and third party reimbursement functions. Attendsto telephone inquiries, audits and mail as they apply to accounts receivableReviewsdaily work list and reports for action or paymentMakesdeterminations on account status based on aging, appeal timeframes, payors andamount.Handlescommercial insurance denied claims for action. Uses appropriate software tofollow claim activityEntersand verifies billing, patient information and other types of data in the computersystemEntersand retrieves financial, administrative and patient informationAttendsto telephone inquiries, audits and mail as they apply to accounts receivablePerformsfollow-up on unpaid or underpaid accounts to obtain expected contractual reimbursementPoststransactions/adjustments into the Patient Accounting SystemsAssistsin the preparation of 3rd party bills for recovery of reimbursement Performsvarious billing, collection and third party reimbursement functionsPerformsword processing and various other clerical duties for department as assignedEvaluates,determines and makes recommendations for best practice methods of handling accountsreceivable situationsWorkson simple tasks using established procedures. Works independently and with ateam on a regular basisPerformsrelated duties or other tasks, as assigned/required
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.