Position Description: Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work. 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 Collection 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.Primary Responsibilities:Contacts customers through a variety of methods (e-mail, 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 collectionsContinually 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 higher)This position is full-time (40 hours / week) with our site Hours of Operation from 6:30 am - 5:30 pm. We do require our employees to be flexible enough to work any shift, any day of the week during those hours. With possible overtime as needed1+ years of Healthcare Collections - Accounts Receivable experience1+ years of experience in Medicare or Medicare Managed Care accountsUnderstanding of benefits requirements, on-line claims editing, submission, and reconciliation proceduresExperience with re-billing functions as appropriate and exhibits knowledge of UB04 form and filing requirementsExperience in assisting Customer Service and Collection Team Members as well as other payer teamsExperience with coding requirements and Medicare / Medicaid RegulationsPreferred Qualification: Understanding of State Insurance Laws and the various appeals processes including but not limited to Insurance Commission filingsCareers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work. 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: UnitedHealth Group, Optum, Healthcare, Collections, Accounts, receivable, claims editing, UB04 form, customer services, Medicaid, Medicare
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.