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Collections Representative - Remote

Company: UnitedHealth Group
Location: Phoenix
Posted on: November 23, 2021

Job Description:

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.Responsible for the accurate and timely response to denials received. Researching and resolving denials from upstream issues through receiving payment on the claim. Ability to work through various scenarios independently. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Primary Responsibilities:

  • Analyzes daily denial management correspondence to appropriately resolve issues
  • Reviews and resolves accounts assigned via work lists daily as directed by supervisor
  • Ability to communicate effectively in written and oral form
  • Ability to multitask and function in a fast-paced environment
  • Ability to prioritize and problem-solve
  • Research root cause to report to Supervisor
  • Identify payer performance trends at the payer level
  • Capable of navigating payer portal
  • Identifies bad debt write-offs and adjustments
  • Process refunds as identified to meet payer guidelines
  • Adheres to regulatory/payer guidelines and policies and procedures
  • Provides exceptional customer service to internal and external customers
  • 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 higher)
    • Knowledge of explanation of benefits (EOB)
    • Knowledge of CPT, ICD-10, and HCPCPS coding
    • Billing and Collection experience
    • Knowledge of benefits verification and prior authorizationPreferred Qualifications:
      • Experience in Microsoft Excel (create and edit spreadsheets)
      • Experience in Microsoft Word (creating, editing, saving, formatting)
      • Home Infusion ExperienceSoft Skill:
        • Strong organizational skillsTelecommuting 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 serviceMilitary & 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-militaryLearn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vetCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SMColorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $15.00 - $25.19. The salary range for Connecticut / Nevada residents is $15.77 - $27.79. 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.Keywords: UnitedHealth Group, UnitedHealthcare, Optum, health care, office, phone support, customer service, billing, training class, now hiring, jobs, careers, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

Keywords: UnitedHealth Group, Phoenix , Collections Representative - Remote, Accounting, Auditing , Phoenix, Arizona

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