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Collections Representative - Atlanta, GA

UnitedHealth Group

Atlanta, GA
Job Code:
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Job Details

749004 Collections Representative Atlanta GA

Collections Representative - Atlanta, GA (749004)

Position Description

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.(sm)

The employee may be assigned responsibilities that primarily fall within a limited area of the following tasks. For example, a person may be assigned primarily collections, but all billing and collection personnel are expected to be cross-trained and capable of performing the following.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Performance measured by productivity, including without limitation aging, days outstanding, level of write-offs and timeliness of dropping bills / statements.


Primary Responsibilities:

  • Using the Company’s Billing system, responsible for filing medical claims and statements for all third-party payers, including insurance companies, PPOs, HMOs, Medicare, CCAH, Medi-Cal, Tricare, workers’ compensation carriers, and other payers.
  • Learns and becomes advanced user of  billing system.
  • Transmits appropriate forms to payers and/or patients.
  • Inputs computer information for electronic processing and edit of eligible claims. Processes electronic billing and claims submission.
  • Analyzes edit reports; identifies and rectifies problems to ensure timely and accurate reimbursement.
  • Reviews insurance return mail and determines reasons for return.
  • Stays informed of changes in billing procedures that impact process and/or reimbursement effectiveness.
  • Posts refund requests and disputes in account and disburses paper work to the appropriate staff.
  • Processes correspondence and requests from payers. Does not become delinquent in this important task; requests assistance via e-mail or memo from the B&C Manager if behind or backlogged.
  • Post all necessary notations on accounts.
  • Verify duplicate payments and post or refund per policy.
  • All billing and payment posting should be kept current.
  • Collect accounts for assigned providers and groups and keep accounts receivable aging within specified ranges, including telephonic and written communications to delinquent accounts (e.g., collection letters). You may be directed to work collections for a specific payor category (e.g., Medicare, workers’ compensation, client occupational health services, insurances, self-pay, etc.)
  • Provide input on appropriate A/R and collections goals and meets A/R and collection goals and objectives set by Team Leader and Senior Management.
  • Verify accuracy of accounts. If an error in an account is detected during the collection process, the employee shall fix the error or report it to the appropriate person (e.g. Team Leader or Billing & Collection Department Manager) and document it in the account.
  • Develop and follow procedures to minimize write-offs.
  • Coordinate with payment posters to ensure proper payment posting. Confirm and test that appropriate contractual write-offs are posted at time of payment posting and that no unnecessary or incorrect contractual write-offs and adjustments are being taken.


Required Qualifications:

  • High School Diploma / GED or higher 
  • 3+ years of recent hospital billing / business office experience utilizing UB-04 and CMS 1500
  • 3+ years of experience resolving denied claims
  • 3+ years of interpreting carrier EOBs experience
  • Ability to maneuver DDE and CDW / HIQA
  • Medicare claims resolution from open to close
  • Medicaid and Medicare knowledge and experience

Preferred Qualifications:

  • Ability to use Microsoft Excel to sort, filter, formulate and display data
  • CPC / CPC-H certification
Careers 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.SM

Diversity 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: Collections Representative, Atlanta, GA, UB-04, CMS 1500, claims, DDE, CDW/HIQA, Excel, CPC/CPC - H

Job Details

  • Contest Number749004
  • Job TitleCollections Representative - Atlanta, GA
  • Job FamilyBilling
  • Business SegmentOptumInsight

Job Location Information

  • Atlanta, GA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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