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Collections Representative - Rancho Cordova,CA

UnitedHealth Group

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Job Details

Collections Representative - Rancho Cordova,CA(Job Number:724859)

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 life’s 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 on-line computerized patient accounting systems and / or electronic billing systems
    • Accounting practices and procedures common to accounts receivable
    • General clerical office practices and procedures
    • Medical terminology
    • HCPCS / CPT and ICD9 / ICD10 Coding understanding
    • Hospital and patient accounting department functions
    • Insurance policies and their benefits
    • Data processing input devices
    • Accounts receivable practices and procedures
    • General clerical office practices 
    • Knowledge of payer contracts

Job Collections
Other Location 
Organization O360 Dignity Health Back Ops
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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