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 lifes best work.SM Primary Responsibilities:
Contact customers to determine reason for payment delinquency
Negotiate and advise on collection of overdue / incorrect claims and take appropriate action to recover overdue payments
Handle unresolved inquiries / issues
Responsible for adhering to collection practices
May work with outside legal counsel and / or outside agencies in more complex collection cases
Some 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 accounts
Covered insurance benefits, billing requirements and procedures for third party payers and / or Government Programs
Data elements for UB04 / 1500 and / or State of California Medi - Cal Program
Operation of online computerized patient accounting systems and / or electronic billing systems
Accounting practices and procedures common to accounts receivable
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.