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Collections Representative - Havertown, PA

UnitedHealth Group

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Job Details

745069 Collections Representative Havertown PA

Collections Representative - Havertown, PA (745069)

Position Description

Position Description:
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.
If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.  Join us and start doing your life’s best work.
Prepare, compile and verify billing data in the preparation of healthcare invoices for billing purposes, reconsiderations / appeals of denied invoices, and follow-up collections. Duties may include computing costs and calculating rates for goods, services, and maintaining relevant records. Significant use of computer billing software, spreadsheets and calculators.
Primary Responsibilities:
  • Interpret explanation of benefits received to implement changes to future invoices to facilitate prompt payment and reduce possible denials. 
  • Work assigned AR (open invoices) using computers and a variety of automated systems to guarantee timely collections.
  • Record in patients' charts actions taken, documentation sent and other pertinent notes to the reconsideration process to decrease AR and increase cash collections.
  • Analyze explanation of benefits received, denial trends and confer with customers to determine reasons for denials to facilitate effective collections.
  • Record collections progress of assigned invoices on spreadsheets and within billing system as assigned by manager.
  • Verify accuracy of billing charges and reject any unprocessable invoices using knowledge of medical fee schedules, State specific requirements, payer instructions and compliance requirements.
  • Answer client account inquiries for billing and collections related questions.
  • Obtain additional documentation to attach to invoices to facilitate payment and reduce rejections.
  • Sort and file correspondence, and perform miscellaneous clerical duties such as answering correspondence and writing reports.
  • Record invoices to be credited on the specified spreadsheet for manager approval.
  • Follow up on reconsiderations as necessary after no response after 30 days to ensure timely collections.
  • Communicate with other departments to obtain additional information or for clarification of billing and collections and prepare billing invoices for submission (as needed).
  • As needed you will have other special projects or tasks as delegated by the Revenue Services Manager, Director of Revenue Services.
Required Qualifications:
  • High School Diploma or GED
  • 1+ years of medical collections experience
  • Ability to save and create documents within Microsoft Word
  • Ability to enter data and save spreadsheets with Microsoft Excel
  • Ability to use calendar and send emails within Microsoft Outlook
  • Willing to work any 8-hour shift between 7:00am and 6:00pm with ability to work overtime as needed
Preferred Qualifications:
  • Knowledge of Healthcare / Medicare Terminology
  • Experience in use of Medical billing software (Mediware)
  • 1+ years of experience in Medical Billing
  • Prior knowledge of HCPCS, CPT, ICD-9, AND ICD-10 codes
  • 1+ years of customer service experience analyzing and solving customer problems
Physical Requirements and Work Environment: 
  • Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouse
Careers with AxelaCare. Discover a health services career that encourages your professional growth while delivering steadfast commitment to exceptional patient care. That's what you discover at AxelaCare. We were founded by a close group of medical professionals in Lenexa, KS to provide patient-focused, state of the art home infusion services for acute, hemophilia and Intravenous Immune Globulin (IVIG) therapies. Today we collaborate with leading doctors to develop breakthrough technologies for patient outcomes assessment; and we recently joined Optum, part of the UnitedHealth Group family of companies. It all reinforces our commitment to empowering people in the pursuit and delivery of exceptional patient care, and creating personalized career paths to discovering your life's best work.
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: billing, claims, medical claims, healthcare claims, office, UnitedHealth Group, Optum, OptumRx, training class, customer service representative, customer service, CSR, Data Entry, adjustments, phone support

Job Details

  • Contest Number745069
  • Job TitleCollections Representative - Havertown, PA
  • Job FamilyBilling
  • Business SegmentOptumRx

Job Location Information

    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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