Health care isnt just changing. Its growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are vital part of their evolution. And thats what fueled these exciting new opportunities.
Who are we? Optum360. Were a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, well leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of revenue management services to health care providers nationwide.
If youre looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. Its an opportunity to do your lifes best work.
The Non - Government Collector is responsible for performing the collection functions within a payer team in the Patient Financial Services unit of Optum360 - Phoenix. The primary purpose of this position is to provide self-pay and third party payer collection activities for the Optum360 member hospitals. The position works in a cooperative team environment to provide value to customers (internal or external).
The Non - Government Collector 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. Demonstrates an understanding of state insurance laws and the various appeals processes including but not limited to Insurance Commission filings. Demonstrates an understanding of benefits requirements, on-line claims editing, submission, and reconciliation procedures.
This position will perform rebilling functions as appropriate and exhibits knowledge of UB92 and 1500 bill forms and filing requirements and will function as a subject matter expert in assisting Customer Service and Collection Team Members as well as other payer team members. Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets customer expectations and requirements, and gains customer trust and respect.
Receive and review all correspondence daily
Follow up on assigned insurance accounts
Assist all hospital employees with any needs that arise
Notify Management of any issues or concerns that may arise
Our ideal candidate is an adept communicator; deadline oriented, and self - motivated, with excellent follow - up and customer service skills
Works on various tasks using established procedures
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.