You might also like
in Phoenix, AZ
Non Government Collector - Phoenix, AZ, Sacramento, CA, Atlanta, GA, Nashville, TN
Hours | Full-time, Part-time |
---|---|
Location | Phoenix, AZ Phoenix, Arizona |
About this job
Position Description:
Health
care isn't just changing. It's growing more complex every day. ICD10
replaces ICD9. Affordable Care adds new challenges and financial
constraints. Where does it all lead? Hospitals and health care
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 health care 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.
If
you want to achieve more in your mission of health care, you have to be
really smart about the business of health care. Challenge yourself,
your peers and our industry by shaping what health care looks like and
doing your life's best work.
The
Non Government Collector is responsible for performing the collection
functions within a payer team in the Patient Financial Services unit of
Optum360-Phoenix. The primary purpose of this position is to provide
self-pay and third party payer collection activities for the Optum360
member hospitals. The position works in a cooperative team environment
to provide value to customers (internal or external).
The Non
Government 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 collections. Demonstrates an understanding of state
insurance laws and the various appeals processes including but not
limited to Insurance Commission filings. Demonstrates an understanding
of benefits requirements, on-line claims editing, submission, and
reconciliation procedures.
This position will perform rebilling
functions as appropriate and exhibits knowledge of UB92 and 1500 bill
forms and filing requirements and will function as a subject matter
expert in assisting Customer Service and Collection Team Members as well
as other payer team members. Continually seeks to understand and act
upon customer needs, concerns, and priorities. Meets customer
expectations and requirements, and gains customer trust and respect.
Primary Responsibilities:
- Receive and review all correspondence daily
- Follow up on assigned insurance accounts.
- Assist all hospital employees with any needs that arise.
- Notify Management of any issues or concerns that may arise.
- Our ideal candidate is an adept
communicator; deadline oriented, and self-motivated, with excellent
follow-up and customer service skills. - Works on various tasks using established procedures.
- Depends on others for guidance.
- Work is typically reviewed by others.
Requirements
- High school diploma or GED
- 1+ years related experience with either healthcare billing or healthcare collections or both
- Working knowledge of insurance carriers'
billing regulations and requirements including claims submission,
claims follow-up, appeals process, and focused review processes - Understanding of state insurance laws
and the various appeals processes including but not limited to Insurance
Commission filings - Understanding of benefits requirements, on-line claims editing, submission, and reconciliation procedures
- 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. - Demonstrated success working in a team environment focused on meeting organization goals and objectives
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.
Diversity
creates a healthier atmosphere: 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.