Job Description

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 and career 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.

Primary function is to contact Hospital and Physician offices to determine reason for payment delinquency. Negotiate and advise on collection of overdue bills and take appropriate action to recover overdue payments. Handles unresolved inquiries/issues related to unpaid invoices.

This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm EST.

We offer 6 weeks of paid training during normal business hours.

If you are located in CST or EST, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Contact Clients/Hospitals for payment of delinquent invoices.
• Process insurance changes, adjustments and refunds.
• Work with all levels of the organization to resolve invoice discrepancies and AR balances.
• Performs necessary follow-up to ensure timely resolution of appeals, obtain updated insurance information, reconcile balances, identify and correct billing errors, etc.
• Consistently exhibits behavior and communication skills that demonstrate our company’s commitment to superior customer service, including quality care, and concern with every internal and external customer.
• Uses, protects, and discloses patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Perform additional 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
• Must be 18 years of age OR older
• 2+ years of experience in healthcare OR insurance industry
• 2+ years of experience with working in a customer service environment
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
• Computer skills, including working knowledge of Microsoft Windows and navigation, mouse, and keyboarding skills
• Ability to work between the hours of 8:00 am - 5:00 pm EST from Monday - Friday

Preferred Qualifications:

• 1+ year experience in Client OR Third-Party insurance billing and / OR customer service OR AR collection experience
• 1+ years of experience with working in collections
• Laboratory billing experience
• Intermediate experience with Microsoft Excel (Pivot tables, VLOOKUP, filtering / sorting spreadsheets)

Telecommuting Requirements:

• Reside within CST or EST
• 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

Soft Skills:

• Problem solving and analytical skills

• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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