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Senior Billing Representative / Client Collector - Marlborough, MA

UnitedHealth Group

Marlborough, MA
Job Code:
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Job Details

Senior Billing Representative / Client Collector - Marlborough, MA(Job Number:728284)

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)

This function is responsible for medical and ancillary product premium billing. Positions in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific billing discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing function. Educate customers regarding the availability of receiving invoices and remitting payments through online applications. Monitor outstanding balances and take appropriate actions to ensure clients pay as billed. Manage the preparation of invoices and complete reconciliation of billing with accounts receivables. May also include quality assurance and audit of billing activities. 

Note: Positions mainly responsible for more general A / R activities which do not include medical and ancillary premium billing activities can be found in the Accounts Receivable function in the Finance job family.  Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.

Primary Responsibilities:
  • Set up new client accounts and run credit checks to ensure client is credit worthy
  • Review international requisitions and contact clients to obtain necessary payments and / or approvals and release from hold or cancel as appropriate
  • Data - entry backup for all client requisitions
  • Work all client problems on Carryover Report and release from hold or cancel as appropriate
  • Send out monthly invoices and include additional info, such as spreadsheets / requisitions / EOBs for special clients
  • Aggressively pursue all client accounts with outstanding balances. Send demand letters as appropriate and report delinquent accounts to finance monthly
  • Review client short pays and resolve in a timely manner
  • Work with the pricing team to update accounts and invoices when retro - pricing is involved
  • Prepare and submit write - offs, refunds, transfers for client and international accounts
  • Exercise proper judgment in bringing issues and problems affecting client collections and reimbursement to the attention of sales rep, supervisor, etc
  • Maintain call records using the Client Collections Database
  • Address customer issues and problems within 48 hours, by engaging all responsible parties to drive timely resolution and reduce client dissatisfaction
  • Prepare various reports, such as Client Utilization, Special Pricing, etc. when requested
  • Maintain and updates job aids and SOP's
  • Other duties, tasks and projects as assigned
  • Maintain Compliance and HIPAA standards at all times
  • Meet or exceed daily production standards
  • Meet or exceed daily quality standards
  • Ability to work on various other projects as needed
  • Extensive work experience within own function.
  • Work is frequently completed without established procedures.
  • Works independently.
  • May act as a resource for others. 
  • May coordinate others' activities.

Job Billing
Primary Location US-MA-Marlborough
Other Location 
Organization O360 Quest
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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