Senior Collections Representative - Atlanta, GA

Position Description: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 member of our medical collections team, your ability to communicate, persuade and convey payment urgency is critical to the overall success of our company. You?ll consult directly with payers and providers to identify reasons for late payments. 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). As a Senior Collection 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 payers who have outstanding claims. While ensuring that payment is received for these claims 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 with occasional overtime.  We do require our employees to be flexible enough to work any shift, any day of the week during those hours.Positions in this function contact payers to determine
reason for payment delinquency. Negotiate and advise on collection of
overdue bills and take appropriate action to recover overdue payments.
Handles unresolved inquiries/issues. Primary Responsibilities: Serve as a resource or Subject Matter Expert (SME) for other team members or internal customers to help identify and resolve issues. Handle escalated and complex customer issues, helping to provide resolution and settlement of account Contacts payers through a variety of methods (e-mail, form letters and phone calls) to discuss, negotiate payment and resolve outstanding medical bill accounts and balances Performs research and documents on various computer systems customer information regarding current status, payment expectations, notes of conversations and other relevant information Prepares and submits reports to internal management on status of outstanding medical bills and proposed/planned payment settlement details.  Complete Quality and Productivity Reviews for associates per department metricComplete internal and external customer reports    

Requirements:HS diploma/GEDMust be available to work 40 hours/week during the site hours of operation 7am-5pm Monday-Friday1+ years Customer Service Representative (CSR) experience OR 1+ years experience in an office setting, call center setting or phone support role using the telephone and computer consistently Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applicationsExperience with MS Excel (formulas, pivot tables, sorting/filtering, data entry) and MS Outlook (send/receive email, create tasks, update calendar, set out of office)3+ years of hospital patient accounting experience with UB04 & HCFA 1500 claim forms3+ years of experience working insurance denials from beginning to end including writing appealsMust have strong knowledge of ICD-9, ICD-10, CPT, & HCPCS codesAbility to read and interpret Explanation of Benefits (EOBs)Possess in-depth understanding of claim denials and actions required for insurance payment/resolution (know when to escalate)Assets:Possess working knowledge of Medicare & Medicaid Regulatory GuidelinesUnderstand how to read & interpret insurance contractsThere 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. Medical collections representative, customer service, collections representative, customer service representative, optum360 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 a vital part of their evolution. And that's what fueled these exciting new opportunities.Optum360 is a dynamic new partnership formed to exemplify our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources 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 and your desire to drive change, this is the place to be. It's an opportunity 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.