Associate Collections Representative - National Remote

  • UnitedHealth Group
  • San Francisco, CA, United States

Job Description

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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.SM

The Associate Collections Representative is responsible for all follow - up activities ensuring accurate reimbursement from third party, or resolution of all assigned accounts in a timely manner. In additional, this position assist and provides education to other staff when issues arise.

This position is full - time. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM. Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

  • Perform daily, systematic reviews of unpaid, underpaid and denied accounts from the appropriate third party payer source ensuring that all assigned accounts are paid and / or resolved in a timely manner
  • Address all inappropriate denials and underpayment by writing an effective and consice Provider Dispute Resolution
  • Identifies and analyzes underpayments to determine the reasons for discrepancies and processes denials and appeals;  examines claims to ensure payers are complying with contractual agreements
  • Communicates directly with payers to follow up on outstanding claims and resolve payment variances, responds to payer inquires and concerns, and works to develop and maintain positive relationship with payers
  • Focus attention on payers with complex follow - up requirements, accounts with high dollar balances, aged accounts, denial trends, and other advances follow - up scenarios
  •  Notes denial trends and informs supervisor / manager of findings to mitigate future claim rejections
  • Maintains a thorough understanding of federal and state regulations as well as specific commercial payer requirements in order to promote compliant in billing and follow - up
  • Keep current on all commercial payer updates including contract languages, rates, policies and payer updates / changes
  • Keep Supervisor / Manager informed of any potential impact to current billing and reimbursement
  • Identifies compliance risk and proactively recognize and rectify any issues to prevent commercial payers audit
  • Utilize Government and Commercial regulatory guidelines for collection of outstanding accounts
  • Follow appropriate appeal process on denials, ensuring resolution
  • As appropriate, reviews, investigates and resolves missed payments or credit balances
  • Initiate appropriate adjustments, insuring all necessary actions have been performed with the correct adjustment and amount
  • Responds to patient concerns and / or complaints on a routine basis and keeps departmental leaders apprised of recurring issues
  • Provide individual contribution to the overall team effort of achieving the department AR goal

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 higher)
  • 3+ years of experience in PB billing and follow - up / collection
  • Knowledge with managed care contracts and appeal process
  • Experience with and knowledge of personal computer application, including Microsoft Office Suite (Microsoft Word, Microsoft Excel, Microsoft PowerPoint, and Microsoft Outlook)
  • EPIC experience
  • Basic knowledge of medical terminology 
  • Ability to work any 8-hour shift between the hours of 8:00 AM - 5:00 PM

Telecommuting Requirements:

  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Ability to keep all company sensitive documents secure (if applicable)
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet

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.SM

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $16.00 - $23.51. The salary range for Connecticut / Nevada residents is $16.00 - $25.77. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.


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