Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.SM Primary Responsibilities:Contact customers to determine reason for payment delinquencyNegotiate and advise on collection of overdue / incorrect claims and take appropriate action to recover overdue paymentsHandle unresolved inquiries / issuesResponsible for adhering to collection practicesMay work with outside legal counsel and / or outside agencies in more complex collection casesSome work is completed without established procedures.Basic tasks are completed without review by others.As a Collections Representative you will need knowledge of:Hospital or patient accounting department functions, operations and procedures Medical terminology, procedure and diagnosis coding sufficient to assess accuracy of patient accountsCovered insurance benefits, billing requirements and procedures for third party payers and / or Government ProgramsData elements for UB04 / 1500 and / or State of California Medi - Cal ProgramOperation of online computerized patient accounting systems and / or electronic billing systemsAccounting practices and procedures common to accounts receivableGeneral clerical office practices and proceduresMedical terminologyHCPCS / CPT and ICD - 9 / ICD - 10 Coding understandingHospital and patient accounting department functionsInsurance policies and their benefitsData processing input devicesAccounts receivable practices and proceduresGeneral clerical office practices Knowledge of payer contracts
Required Qualifications:High School Diploma / GED1+ years of experience in Collections in a Healthcare settingExperience with Microsoft Word (create and edit documents), Microsoft Excel (data entry, sorting, creating / modifying spreadsheets), and Microsoft Outlook (creating, sending emails)Knowledge of HIPAA guidelinesPreferred Qualifications:Previous experience in Billing and / or Collections Revenue Cycle settingPhysical Requirements and Work Environment:Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouseOffice environmentCareers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place 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: UHG, UnitedHealth Group, Optum, healthcare, collections, collections representative, billing, Rancho Cordova, CA, HIPAA
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.