1+ months

Collections Representative - Phoenix, AZ

Phoenix, AZ 85003
  • Job Code
    890432

Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities.

 

Who are we? Optum360. We're a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide.

 

If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work. SM

 

Careers with Optum360. At Optum360, we're on the forefront of health care innovation. With health care costs and compliance pressures increasing every day, our employees are committed to making the financial side more efficient, transferable and sustainable for everyone. We're part of the Optum and UnitedHealth Group family of companies, making us part of a global effort to improve lives through better health care. In other words, it's a great time to be part of the Optum360 team. Take a closer look now and discover why a career here could be the start to doing your life's best work. SM


It takes a special person to be effective in stressful situations. In fact, it takes a gifted, diplomatic and persistent person who can see past the challenge to a successful outcome. If that's you, get with us because this role at UnitedHealth Group is all about special. You'll consult directly with our customers who have outstanding medical bills to identify reasons for late payments and set up payment plans that are mutually agreeable. It's an important role and it will take all of your skills. Join us and discover the exceptional training, support and opportunities to grow that you'd expect from a Fortune 6 leader. 

This position is full-time ( 40 hours/week) Monday -Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of 6:30 am - 5:30 pm. It may be necessary , given the business needs to work occasional overtime. Our office is located at 4129 East Van Buren Street , Phoenix , AZ 85008

Primary Responsibilities:

  • Ensure all claims are billed and received by the payers for proper adjudication. This includes timely processing of allocated volume of accounts, based on established production guidelines and time parameters provided for workflow
  • Responsible for outbound calls and / or status inquiries via payers website validating receipt of medical claims and adjudication status within established timeframes
  • Display competent ability to access, navigate, and manage account information through phone calls and payer websites
  • Work any edits and denials in allocated workflow to achieve proper adjudication to payment. This includes, but is not limited to: verify insurance is correct, update insurance demographics, rebill claims not received, document the status of work performed, follow - up on outstanding adjudication items according to departmental guidelines, and is also responsible for billing secondary / tertiary claims along with providing supporting documentation to payers for additional payment
  • Perform scheduled follow up on accounts to include calls to payers and / or patients, as well as accessing payer websites, and resolving complex accounts with minimal or no assistance necessary
  • Effectively resolve complex or aged inventory, including payment research and payment recoups with minimal or no assistance necessary
  • Document all work and calls performed, in accordance to policy. This includes complete contact information, good grammar, and expected outcomes
  • Obtain primary and / or secondary EOB and claims to bill next responsible payer, along with utilizing various internal resources to obtain medical records to respond to requests from payers upon request
  • Accurately and thoroughly documents the pertinent collection activity performed
  • Maintain assigned worklists and resolve high priority and aged inventory
  • Identify and communicate issues to leadership, including payer, system or escalated account issues for timely resolution

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.

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Posted: 2020-09-18 Expires: 2020-11-18

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.

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Collections Representative - Phoenix, AZ

UnitedHealth Group
Phoenix, AZ 85003

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