Collections Representative - National Remote

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Energize your career with one of Healthcare's fastest growing companies.  

You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

This function is responsible for insurance premium collections. Positions in this function contact customers 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. Responsible for developing, implementing, maintaining and managing organization policies on collection practices. May work with outside legal counsel and/or outside agencies in more complex collection cases.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

• Analyzes daily denial management correspondence to appropriately resolve issues


• Reviews and resolves accounts assigned via work lists daily as directed by supervisor


• Ability to communicate effectively in written and oral form


• Ability to multitask and function in a fast-paced environment


• Ability to prioritize and problem-solve


• Research root cause to report to Supervisor


• Identify payer performance trends at the payer level


• Capable of navigating payer portal


• Identifies bad debt write-offs and adjustments


• Process refunds as identified to meet payer guidelines


• Adheres to regulatory/payer guidelines and policies and procedures


• Provides exceptional customer service to internal and external customers


• Other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED (or higher)


• Strong computer skills, including working knowledge of MS Windows and navigation, mouse and keyboarding skills


• Knowledge of explanation of benefits (EOB)


• Knowledge of CPT, ICD-10, and HCPCPS coding


• Billing and Collection experience


• Knowledge of benefits verification and prior authorization


• Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm CST

Preferred Qualifications:

• Experience in Microsoft Excel (create and edit spreadsheets)


• Experience in Microsoft Word (creating, editing, saving, formatting)


• Home Infusion Experience


• 1+ year of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)


• Required to have a dedicated work area established that is separated from other living areas and provides information privacy


• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Strong organizational skills

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible.  https://uhg.hr/vet

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.  Join us and start doing your life's best work. SM

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $16.00 - $26.88. The salary range for Connecticut / Nevada residents is $16.83 - $29.66. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives

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.

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