Position Description: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 member of our medical collections team, your ability to communicate, persuade and convey payment urgency is critical to the overall success of our company. You'll consult directly with our customers to identify reasons for late payments and set up payment plans that are mutually agreeable. 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, you'll know you are doing your life's best work(sm).As a Senior Collections Representative with Optum360, you will work with your team members to help identify and resolve issues and serve as a resource for day - to - day operations. Your primary role will be to contact and consult with patients and/or their families who have outstanding medical bills. While ensuring that payment is received for these bills is important, you will also need to provide assistance and support to these individuals as they may be dealing with a medical or financial crisis.This position is full - time (40 hours / week) with our site Hours of Operation from 7:00 AM - 5:00 PM Monday through Friday. Overtime is voluntary on Saturdays from 6:00 AM - 2:00 PM.Primary Responsibilities:Performs collection functions relevant to the Patient Financial Services area in a manner that meets or exceeds key performance criteria.Maintains thorough and detailed knowledge of collection laws and third party payer claims processing and ensures compliance with state laws regarding all cash processes as evident through cash collections. Bills and performs collection's independently based on applicable insurance and CMS requirements.Performs re - billing functions as appropriate and exhibits knowledge of UB92 and 1500 bill forms and filing requirements. Demonstrates an understanding of benefits requirements, online claims editing, submission, and reconciliation procedures.Performs re - billing functions as appropriate and exhibits knowledge of UB92 and 1500 bill forms and filing requirements. Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets customer expectations and requirements, and gains customer trust and respect.Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.Demonstrates ongoing enthusiasm and commitment to the work assigned.Participates in a process to continually improve organizational effectiveness using Baldrige self - assessment performance evaluation criteria.Actively monitors accounts receivable for transplant patients.Identifies and follows all transplant patient accounts to ensure transplant related services are posted properly in the billing systems and captured in the transplant database.Submits bills electronically and manually as required per transplant related services.Prepares clean claims for submission as soon as possible to secure timely payment. Requests and attachments any required clinical documentation.Remains current in knowledge of regulatory payer and billing requirements.Interprets claims, processing reports, corrects patient demographic information as necessary to produce clean claims.Process claims / invoices for submission within an appropriate transplant days of global period.Services accounts in accordance with priority to optimize turnaround time.Performs miscellaneous job duties as requested.
Requirements:High School Diploma / GEDMust be available to work 8 hours between 7:00 AM - 5:00 PM Monday through Friday2+ years of experience in transplant collections experience1+ years of experience in an office setting, call center setting or phone support role using the telephone and computer consistently1+ years of customer service experience1+ years of experience in conflict resolution Soft Skills:Results OrientedDetail OrientedExcellent Oral Communication SkillsFlexible There are several steps in our hiring process it's a thorough process because we want to ensure the best job and culture fit for you and for us. In today's ultra - competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application / job questions). Once you submit your resume, you'll receive an email with next steps. This may include a link for an online pre - screening test that we ask you to complete as part of our selection process. You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via email.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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.SMDiversity 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, Optum, Healthcare, transplant collections, call center, phone support, customer service, conflict resolution, Senior Collection Representative
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 t...hey 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.