Collections Representative - National Remote - Healthcare Finance and Patient Engagement

Join the UnitedHealth Group Team as a Full-Time Remote Collections Representative Become a vital part of our dynamic team as a Full-Time Remote Collections Representative, working with UnitedHealth Group, a leading global organization dedicated to delivering care and improving health outcomes through technology. In this role, you will have the opportunity to make a positive impact on the lives of millions of people by connecting them with the care, pharmacy benefits, data, and resources they need to feel their best. Our culture is guided by diversity and inclusion, and we offer comprehensive benefits, career development opportunities, and a collaborative work environment. About UnitedHealth Group UnitedHealth Group is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location, and income – deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes. Job Summary We are seeking a highly skilled and motivated Full-Time Remote Collections Representative to join our team. As a Collections Representative, you will be responsible for performing collecting, reconciliation, research, correspondence, and independent problem-solving activities. You will work with our Patient Financial Services (PFS) department to ensure accurate and timely processing of payments, adjustments, claims, and correspondence. This is a full-time remote position, requiring flexibility to work our normal business hours of 8:00 am - 5:00 pm EST, with occasional overtime as needed. Key Responsibilities Perform collecting, reconciliation, research, correspondence, and independent problem-solving activities to resolve complex, multi-payment accounts. Reconcile accounts on a daily basis to determine underpayment, overpayment, or contractual adjustment corrections. Submit appeal letters on underpaid claims as directed and interpret payer contracts to determine if payment and adjustment are accurate. Review Explanation of Benefits (EOBs) for denials and post corrected adjustments to balance accounts. Identify needs for process improvements and create/enhance processes in the PFS department. Promote positive teamwork within the department and among employees. Work with all hospital departments to ensure proper coding and billing procedures. Follow all departmental, hospital, and regulatory policies and procedures, including HIPAA requirements. Utilize top customer service skills with all customers, including patients, government agencies, and commercial insurances. Reconcile, balance, and pursue account balances and payments, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets, and company collection/self-pay policies. Make appeals and corrections as necessary and build strong working relationships with assigned business units, hospital departments, or provider offices. Identify trends in payment issues and communicate with internal and external customers to educate and correct problems. Provide assistance to internal clients and respond to incoming calls and make outbound calls as required to resolve billing, payment, and accounting issues. Requirements and Qualifications Essential Qualifications: High School Diploma or GED required. Must be 18 years of age or older. 1 year of experience in healthcare billing and/or collections. Experience with follow-up on Arizona Medicaid claims and commercial follow-up claims. Proficient in Microsoft Office Suite, including Microsoft Word, Microsoft Excel, and Microsoft Outlook. Ability to work our normal business hours of 8:00 am - 5:00 pm EST, with occasional overtime as needed. Preferred Qualifications: Previous experience working in a remote or telecommuting environment. Familiarity with patient financial services and healthcare operations. Excellent communication and problem-solving skills. Skills and Competencies To succeed in this role, you will need: Strong analytical and problem-solving skills. Excellent communication and customer service skills. Ability to work independently and as part of a team. Strong attention to detail and organizational skills. Ability to adapt to changing priorities and deadlines. Career Growth Opportunities and Learning Benefits At UnitedHealth Group, we are committed to the growth and development of our employees. As a Collections Representative, you will have access to: Comprehensive training program (4 weeks of on-the-job training). Career development opportunities and mentorship. Competitive salary and benefits package. Incentive and recognition programs. Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). Work Environment and Company Culture As a remote employee, you will have the flexibility to work from anywhere within the U. S. and enjoy a dynamic work environment. Our company culture is guided by: Diversity and inclusion. Talent development and growth. Collaboration and teamwork. Customer-centricity and patient advocacy. Compensation, Perks, and Benefits We offer a comprehensive benefits package, including: Competitive salary ($16.54 - $32.55 per hour, depending on location and experience). Comprehensive benefits package. Incentive and recognition programs. Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). How to Apply If this role sounds like a perfect fit, don't hesitate. Apply today and let's build the future together. Apply To This Job 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. Apply for this job