Optum is a leading global organization dedicated to enhancing health and wellness through innovative technology. By joining our team, your efforts will directly elevate health outcomes as we connect individuals with essential healthcare resources, pharmacy benefits, and data to support their well-being. Our vibrant culture fosters diversity and inclusion, encouraging collaboration with talented colleagues while offering comprehensive benefits and opportunities for professional growth. Be part of our mission to create healthier communities as we strive for global health equity. Together, we are committed to Caring. Connecting. Growing together.

As a member of our team, you will excel in the role of a Hospital Collections Representative—an experienced professional who consistently surpasses performance benchmarks. In this role, you will assist colleagues in overcoming challenges, provide on-the-job education, and collaborate with the Supervisor of Hospital Follow-Up and IT team to troubleshoot issues and offer valuable feedback for system enhancements.

This is a full-time opportunity, operating Monday to Friday, with flexibility required to accommodate various shift schedules between 7:00 AM and 3:30 PM PST. Occasionally, overtime may be needed depending on business demands.

We provide a robust two-week paid training program, with training hours from 8:00 AM to 4:30 PM PST, enabling you to launch your career effectively. Enjoy the flexibility of telecommuting from anywhere in the U.S. as you tackle challenging scenarios.

Key Responsibilities:

• Conduct thorough daily reviews of unpaid patient accounts, determining the appropriate responsible party for balances across government, managed care, or commercial sources.
• Reach out to identified payer sources to address payment release issues.
• Direct your efforts to managing complex claims, high-dollar accounts, and aged accounts requiring advanced follow-up procedures.
• Transmit necessary documentation to third-party payers to resolve payment discrepancies.
• Ensure comprehensive documentation of all payer interactions within designated software applications.
• Oversee payment accuracy and timeliness, contacting payers as needed and reporting persistent issues to your supervisor.
• Guarantee secondary claims are appropriately crossed over to insurance.
• Adhere to regulatory guidelines for the collection of outstanding accounts.
• Navigate the appeals process for denied claims efficiently.
• Recommend accounts for write-off with proper justification and documentation.
• Consistently achieve and exceed productivity and quality standards in the collections process.

You’ll be acknowledged and rewarded for your exemplary performance in an environment that challenges you while providing clear guidance and developmental avenues for your career aspirations.

Qualifications:

• High School Diploma or GED required.
• Minimum age of 18 years.
• At least 2 years of hospital follow-up or collections experience.
• Minimum 2 years of experience with EPIC Resolute Hospital Billing.
• Proven experience engaging with insurance payers and resolving outstanding claims.
• Expertise in collecting high-dollar claims.
• Knowledge of government and managed care contracts, as well as the appeals process.
• Basic medical terminology understanding.
• Proficiency in Microsoft Word, Excel, and Outlook for correspondence, data management, and calendaring.
• Ability to adapt to flexible shifts during regular business hours and be open to occasional overtime as necessary.

Remote Work Requirements:

• Must secure sensitive company documents.
• Establish a dedicated workspace ensuring privacy and focus.
• Reside in an area with a UnitedHealth Group approved high-speed internet connection or an existing high-speed service.

All remote employees must comply with UnitedHealth Group’s Telecommuter Policy.

The hourly pay range for this position is between $16.88 and $33.22 for full-time employment, dependent on various factors such as local labor markets, educational background, work experience, and certifications. In addition to competitive pay, UnitedHealth Group provides an extensive benefits package, including incentive programs, stock purchase options, and 401k contributions—all subject to eligibility criteria.

Application Deadline: This position will be posted for at least 2 business days or until a sufficient pool of candidates is established. Early removal of the job posting may occur based on applicant volume.

At UnitedHealth Group, our mission is to support healthier lives and improve the health system for everyone. We believe in equitable health opportunities for all individuals, regardless of background. We are dedicated to reducing barriers to quality health care, especially for marginalized groups, as we navigate our commitment to environmental sustainability and health equity.

UnitedHealth Group is an Equal Employment Opportunity employer. All qualified applicants will be considered for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or veteran status, as well as any other characteristic protected by applicable law.

UnitedHealth Group is a drug-free workplace, and all candidates must pass a drug test prior to employment.