Senior Collections Representative Medicare - Rancho Cordova, CA - Full-time / Part-time

Position Description:

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.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 our customers to identify reasons
for late payments and set up payment plans that are mutually agreeable.
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.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 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 10:00 am - 7:00 pm or 11:00 am - 8:00
pm with one Saturday per month (8:00 am - 2:30 pm.) We do require our
employees to be flexible enough to work any shift, any day of the week
during those hours.Primary Responsibilities:Serve
as a resource or Subject Matter Expert (SME) for other team members or
internal customers to help identify and resolve issuesHandle escalated and complex customer issues, helping to provide resolution and settlement of accountContacts
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. Reviews, documents, and analyzes all findings for payments, recoupments, and denialsUnderstands and articulates the client appeal rights with both government auditing programs Maintains strict adherence to appeal requirements and associated timeframesAdherence to timely completion of all assigned tasks within appeal softwareMaintain
communication with payers, both government and non-government, and
provide follow-up activity as necessitated to secure information
regarding payment, recoupments, denials, and clarification of
correspondenceProvide reconciliation findings and escalate any trends or items of concernMaintains database information relative to financial activityOther duties as assigned by the Recovery Audit Supervisor, or designated Audit andDenials leadershipWorks independently in a team environmentMay act as a resource for othersMay coordinate other's activities

Requirements:High School Diploma or GED1+ years of working knowledge of Medicare gained in a position primarily focused on Medicare1+
years of experience working with Medical Terminology, Procedure, and
Diagnosis Coding sufficient to access accuracy of patient accountIntermediate
proficiency with Windows PC applications (this includes the ability to
learn new and complex computer system applications)Available
to work 40 hours per week within the operating hours of the site
(Monday through Friday 6:00 am to 5:00 pm) and an occasional Saturday as
needed for overtimeAssets:2.5+ years of experience with data elements of UB04 and/or Electronic Claim Edit Suite experienceKnowledge of audits on government claimsCareers
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: 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.