Collections Representative

Requisition Number: 2370547
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
We are seeking a detail-oriented and technically proficient to support Billing & Collections revenue cycle operations. This role is ideal for candidates with strong computer skills and the ability to learn healthcare billing processes in a fast-paced environment.
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 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.
This will be on the job training and the hours during training will be during normal business hours, Monday - Friday.
Primary Responsibilities:

• Contact insurance providers to determine reason for payment delinquency, claim errors, and delays using payers web portals as the main tool
• Negotiate and advise on collection of overdue / incorrect claims and take appropriate action to recover overdue payments
• Handle unresolved billing or collection inquiries / issues
• Responsible for adhering to Accounts Receivable and collection practices, policies and procedures
• May work with outside legal counsel and / or outside agencies in more complex collection cases
• Basic tasks are completed without review by others
• 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 Payer Programs
• Knowledge of UB04 / 1550 claim forms for Medicare, Medicaid, Medi-Cal and other Government Payer Programs.
• Operation of online computerized patient accounting systems and / or electronic billing systems
• Hospital and patient accounting department functions to include general clerical office practices and procedures
• Understanding of HCPCS / CPT and ICD10 Coding, Medicare guidelines and rules
• Working with payer contracts, insurance policies and benefit coverage

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
• Computer proficiency and ability to learn new systems quickly
• Knowledge with AI tools (e.g., ChatGPT, automation tools, or data analytics platforms)
• Basic understanding of data handling, spreadsheets, or simple data analysis
• Understanding of software applications, installation, and/or troubleshooting
• Experience with automation, reporting, or process improvement
• Experience with Microsoft Office tools including Microsoft Word (creating and writing memos), Microsoft Excel (creating, filtering, and navigating reports in spreadsheets), and Microsoft Outlook (setting calendar appointments and emails)
• Ability to work 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 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• 1+ years of experience in hospital/facility collections
• 1+ years of experience in commercial claim and Medicare collections
• Experience working with insurance companies to verify the status of denied claims and ensure timely payment
• Experience with EPIC and/or DDE (Direct Data Entry)
• Experience in a Healthcare Revenue Cycle position

Telecommuting Requirements:

• 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:

• High attention to detail and accuracy
• Analytical and problem-solving skills
• Ability to manage multiple tasks and meet productivity goals

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.