Reimbursement Specialist - Patient Collections

Job description

Patient Collections Representative 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. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits andcareer development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Patient Collections Representative is responsible for analyzing insurance documents, processing reimbursement claims, collecting on patient accounts and releasing accurate billing statements for patient and insurance claims. To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform essential functions. This position is full-time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedule during our normal business hours of 8:00 AM - 5:00 PM CST. It may be necessary, given the business need, to work occasional overtime. We offer on-the-job training. The hours during training will be 8:00 AM to 5:00 PM CST, Monday - Friday. Training will be conducted virtually from your home. Primary Responsibilities: • Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities • Position will handle inbound and outbound calls, from patients and payors, regarding claims and/or account balances • Prepares and reviews insurance claims prior to billing • Analyze and identify trends and provides reports as necessary • Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance • Other duties as assigned 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. Required Qualifications: • High School Diploma / GED OR 2+ years of equivalent working experience • Must be 18 years of age OR older • 2+ years of experience in claims recovery and resolution • 2+ years of medical billing and/or medical collections experience • Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications • Ability to work full-time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedule during our normal business hours of 8:00 AM - 5:00 PM CST. It may be necessary, given the business need, to work occasional overtime. Preferred Qualifications: • 2+ years of experience in infusion therapy or related healthcare services • Adobe PDF experience • Microsoft Excel, Microsoft Outlook, Microsoft Word proficiency • Ability to navigate through several technical platforms simultaneously 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. *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.