Collections Representative - Phoenix, AZ - Full-time / Part-time

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.

Healthcare isn’t just
changing. It’s growing more complex every day. ICD-10 Coding replaces ICD-9.
Affordable Care adds new challenges and financial constraints. Where does it
all lead? Hospitals and Healthcare organizations continue to adapt, and we are
vital part of their evolution. And that’s what fueled these exciting new
opportunities. 

 

Who are
we? Optum360. We’re a dynamic new partnership formed by Dignity
Health and Optum to combine our unique expertise. As part of the
growing family of UnitedHealth Group, we’ll leverage our
compassion, our talent, our resources and experience to bring financial clarity
and a full suite of Revenue Management services to Healthcare Providers,
nationwide. 

If you’re looking for a better
place to use your passion, your ideas and your desire to drive change, this is
the place to be. It’s an opportunity to do your life’s best work.SM

 

If you are looking for a
way to help others, while you put your customer service skills to good use,
this may be the career for you. As a Collection Representative at Optum360,
a fast-paced, high growth company within UnitedHealth Group, you will be
contacting and consulting with patients and/or their families who have
outstanding medical bills. You'll consult directly with our customers to
identify reasons for late payments and set up payment plans that are mutually
agreeable. Your ability to communicate, persuade and convey payment urgency is
critical to the overall success of our company. Your work will not only impact
the bottom line, but it will also make a difference in the lives of our
customers, greatly reducing their financial burden. At the end of the day,
you’ll know you are doing your life’s best work.SM

Primary Responsibilities:

Contacts customers through a
variety of methods (e-mail, form letters and phone calls) to discuss,
negotiate payment and resolve outstanding medical bill accounts and
balancesObtains agreement, after
discussion with customer, on potential balance payoff and/or payment terms
within stated level of authority and guideline limitsPerforms research and documents
on various computer systems customer information regarding current status,
payment expectations, notes of conversations and other relevant
informationPrepares and submits reports to
internal management on status of outstanding medical bills and
proposed/planned payment settlement detailsMay in some instances transfer
settlement of account and related information to external collection
agencies and remains in contact with them regarding further payment
activity'The Collector is responsible
for performing the collection functions within a payer team in the Patient
Financial Services unit of Dignity Health-PhoenixThe primary purpose of this
position is to provide self-pay and third party payer collection
activities for the Dignity Health member hospitalsThe position works in a
cooperative team environment to provide value to customers (internal or
external)The Collector 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 collectionsDemonstrates an understanding
of state insurance laws and the various appeals processes including but
not limited to Insurance Commission filingsDemonstrates an understanding
of benefits requirements, on-line claims editing, submission, and
reconciliation proceduresThis position will perform
re-billing functions as appropriate and exhibits knowledge of UB92 and 1500
bill forms and filing requirements and will function as a subject matter
expert in assistingCustomer Service and Collection
Team Members as well as other payer team membersContinually seeks to understand
and act upon customer needs, concerns, and prioritiesMeets customer expectations and
requirements, and gains customer trust and respectModerate work experience within
own functionSome work is completed without
established proceduresBasic tasks are completed
without review by othersSupervision/guidance is
required for higher level tasks

Required Qualifications:High School Diploma/ GED1+ years of Customer Service Representative (CSR) experience or 1+ year of experience in an office setting, call center setting or phone support role using the telephone and computer consistently1+ years of Healthcare Collections experiencePreferred Qualifications:3+ years of Healthcare Collections experienceUnderstanding of State Insurance Laws and the various appeals processes including but not limited to Insurance Commission filingsUnderstanding of benefits requirements, on-line claims editing, submission, and reconciliation proceduresExperience with re-billing functions as appropriate and exhibits knowledge of UB92 and 1500 bill forms and filing requirementsExperience in assisting Customer Service and Collection Team Members as well as other payer teamExperience with coding requirements and Medicare/Medicaid RegulationsThere are several steps in our hiring process it's a thorough process because we want to ensure the best job and culture fit for you and for us. In today's ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you'll receive an email with next steps. This may include a link for an on-line pre-screening test that we ask you to complete as part of our selection process. You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail.Careers with Optum360. At Optum360, we're on the forefront of health care innovation. With health care costs and compliance pressures increasing every day, our employees are committed to making the financial side more efficient, transferable and sustainable for everyone. We're part of the Optum and UnitedHealth Group family of companies, making us part of a global effort to improve lives through better health care. In other words, it's a great time to be part of the Optum360 team. Take a closer look now and discover why a career here could be the start to doing 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: united healthgroup, optum, healthcare, IT, CSR, customer service, healthcare collections, appeals, benefits, claims, reconciliation, re-billing, UB92, 1500 bill form, medicare, medicaid, Medical collections representative, customer service, collections representative, customer service representative, optum360