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Senior Collections Representative - Phoenix, AZ

UnitedHealth Group

Phoenix, AZ
Job Code:
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Job Details

746792 Senior Collections Representative Phoenix AZ

Senior Collections Representative - Phoenix, AZ (746792)

Position Description

Position Description:

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

As a Senior Collections Representative with Optum360, you will work with your team members to help identify and resolve issues and serve as a resource for day - to - day operations. Your primary role will be to contact and consult with patients and/or their families who have outstanding medical bills. While ensuring that payment is received for these bills is important, you will also need to provide assistance and support to these individuals as they may be dealing with a medical or financial crisis.

This position is full - time (40 hours / week) with our site Hours of Operation from 7:00 AM - 5:00 PM Monday through Friday. Overtime is voluntary on Saturdays from 6:00 AM - 2:00 PM.

Primary Responsibilities:
  • Performs collection functions relevant to the Patient Financial Services area in a manner that meets or exceeds key performance criteria.
  • Maintains thorough and detailed knowledge of collection laws and third party payer claims processing and ensures compliance with state laws regarding all cash processes as evident through cash collections.
  • Bills and performs collection’s independently based on applicable insurance and CMS requirements.
  • Performs re - billing functions as appropriate and exhibits knowledge of UB92 and 1500 bill forms and filing requirements.
  • Demonstrates an understanding of benefits requirements, online claims editing, submission, and reconciliation procedures.
  • Performs re - billing functions as appropriate and exhibits knowledge of UB92 and 1500 bill forms and filing requirements.
  • Continually seeks to understand and act upon customer needs, concerns, and priorities.  Meets customer expectations and requirements, and gains customer trust and respect.
  • Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
  • Demonstrates ongoing enthusiasm and commitment to the work assigned.
  • Participates in a process to continually improve organizational effectiveness using Baldrige self - assessment performance evaluation criteria.
  • Actively monitors accounts receivable for transplant patients.
  • Identifies and follows all transplant patient accounts to ensure transplant related services are posted properly in the billing systems and captured in the transplant database.
  • Submits bills electronically and manually as required per transplant related services.
  • Prepares clean claims for submission as soon as possible to secure timely payment. Requests and attachments any required clinical documentation.
  • Remains current in knowledge of regulatory payer and billing requirements.
  • Interprets claims, processing reports, corrects patient demographic information as necessary to produce clean claims.
  • Process claims / invoices for submission within an appropriate transplant days of global period.
  • Services accounts in accordance with priority to optimize turnaround time.
  • Performs miscellaneous job duties as requested.
  • High School Diploma / GED
  • Must be available to work 8 hours between 7:00 AM - 5:00 PM Monday through Friday
  • 1+ years of experience in an office setting, call center setting or phone support role using the telephone and computer consistently
  • 1+ years of customer service experience
  • 1+ years of experience in conflict resolution
  • 1+ years of experience with Specialty Accounts (Donor Network or Transplant Cases)
Soft Skills:
  • Results Oriented
  • Detail Oriented
  • Excellent Oral Communication Skills
  • Flexible
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: Medical Collections Representative, Customer Service, Collections Representative, Customer Service Representative, Optum360

Job Details

  • Contest Number746792
  • Job TitleSenior Collections Representative - Phoenix, AZ
  • Job FamilyBilling
  • Business SegmentOptumInsight

Job Location Information

  • Phoenix, AZ
    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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