Position Description: Healthcare isn't just changing.It's growing more complex every day. ICD-10 Coding replaces ICD-9. AffordableCare adds new challenges and financial constraints. Where does it all lead?Hospitals and Healthcare organizations continue to adapt, and we are vital partof their evolution. And that's what fueled these exciting newopportunities. Who are we? Optum360.We're a dynamic new partnership formed by Quest and Optum to combineour unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, ourresources and experience to bring financial clarity and a full suite of RevenueManagement services to Healthcare Providers, nationwide. If you're looking for a better place to use yourpassion, your ideas and your desire to drive change, this is the place to be.It's an opportunity to do your life's best work.Primary Responsibilities: Follow up on assigned insurance accounts Make outgoing insurance calls on accounts Notify Management of any issues or concerns that may arise Our ideal candidate is an adept communicator; deadline oriented, and self - motivated, with excellent follow - up and collection experience This function is responsible for insurance premium collections Positions in this function contact insurance companies to determine reason for payment delinquency Negotiate and advise on collection of overdue claims and take appropriate action to recover overdue payments Handles unresolved inquiries / issues Responsible for developing, implementing, maintaining and managing organization policies on collection practices Submit written appeals to payers to overcome denials
Required Qualifications: High School Diploma / GED (or higher) 1+ years of medical collections experience in a hospital, clinic, doctor's office, or any other medical setting Ability to maneuver and operate Windows PC applications Must understand the following medical terminology / processes: modifiers, CPT codes, ICD-10, deductible, co-insurancePreferred Qualifications: Ability to process collections through BlueCross / BlueShield Ability to create and modify spreadsheets, documents, and emails within Microsoft Office including Excel, Word, and Outlook Careers 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: billing, claims, medical claims, healthcare claims, office, UnitedHealth Group, Optum, training class, collections, modifiers, CPT codes, ICD-10, deductible, co-insurance, adjustments, phone support, BlueCross, BlueShield, Port Chester, NY
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.