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 Medical 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. Youll 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, youll know you are doing your lifes best work(sm).This position is full-time (40 hours/week) with our site Hours of Operation from 10:00 am - 7:00 pm or 11:00 am - 8:00 pm with one Saturday per month (8:00 am - 2:30 pm.) We do require our employees to be flexible enough to work any shift, any day of the week during those hours. 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 activity POSITION SUMMARYMaintains and reconciles records of outstanding receivables. Performs various billing, collection and third party reimbursement functions. Attends to telephone inquiries, audits and mail as they apply to accounts receivable.RESPONSIBILITIESReviews daily worklist and reports for action or payment.Makes determinations on account status based on aging, appeal timeframes, payors and amount.Handles commercial insurance denied claims for action. Uses appropriate software to follow claim activity.Enters and verifies billing, patient information and other types of data in the computer system. Enters and retrieves financial, administrative and patient information.Attends to telephone inquiries, audits and mail as they apply to accounts receivable.Performs follow-up on unpaid or underpaid accounts to obtain expected contractual reimbursement.Posts transactions/adjustments into the Patient Accounting Systems.Assists in the preparation of 3rd party bills for recovery of reimbursement Performs various billing, collection and third party reimbursement functions.Performs word processing and various other clerical duties for department as assigned.Evaluates, determines and makes recommendations for best practice methods of handling accounts receivable situations.Works on simple tasks using established procedures. Works independently and with a team on a regular basis.Performs related duties or other tasks, as assigned/required.REQUIRED EXPERIENCE AND QUALIFICATIONSTo be considered for this position, applicants need to meet the qualifications listed in this posting. Required Qualifications:High School Diploma/GEDExperience in Hospital Accounts Receivable/Follow-up in a professional environmentExperience with MS Office (Word, Outlook, Excel)Working knowledge of how to adjudicate coding related payor denials and appeal processing.Preferred Qualifications: Knowledge of Hospital Billing Systems Knowledge of electronic Financial Record (eFR)
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.