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UnitedHealth Group Client Accounts Collections Representative - Cleveland, OH or Valencia, CA Remote in Cleveland, Ohio

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 Quest 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.

It takes a special person to be effective in stressful situations. In fact, it takes a gifted, diplomatic and persistent person who can see past the challenge to a successful outcome. If that's you, get with us because this role at UnitedHealth Group is all about special. You'll consult directly with our customers who have outstanding medical bills to identify reasons for late payments and set up payment plans that are mutually agreeable. It's an important role and it will take all of your skills. Join us and discover the exceptional training, support and opportunities to grow that you'd expect from a Fortune 6 leader.

Client Accounts Collections Representative will provide high performance level services to our clients. It is necessary to have an individual with stellar analytical skills, collection abilities, and account management experience to ensure that our largest payor group's collections improve without sacrificing the quality of services we have provided in the past.

The Client Accounts Collections Representative will be responsible for maintaining industry standards for the Client Billing A/R they are assigned to in regard to aging, collection rates, corrections and invoices with no activity. This position will also post adjustments as needed and responsible for the follow up on all outstanding invoices. The position will work the aging reports as directed by the A/R Manager, and be responsible for lowering A/R over 90 days to acceptable standards. This position is also responsible for timely follow-up with internal and external customers. Supports and adheres to all policies and procedures.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

If you are located in the Cleveland, OH ir Valencia, CA area, you will have the flexibility to telecommute* as you take on some tough challenges.

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

What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/

Primary Responsibilities:

  • Daily follow up on all outstanding client invoices.

  • Generation and submission of all client invoices.

  • Pricing reviews, audits, and corrections.

  • Work with supervisors to streamline billing procedures and enhancements to the overall client billing process.

  • Posting payments.

  • Correcting EP errors on daily basis

  • Review accounts that have partial or under payments.

  • Prepare spreadsheets on all client billing related activities.

  • Handle correspondence from internal and external customers regarding the client billed revenue.

  • Handle incoming calls from internal and external customers

  • Handle high volume incoming email requests related to client accounts with a turnaround time of 24-48 hours

  • Review accounts to determine if billed correctly.

  • Treats patients and co-workers consistent with the Med Fusion Mission Statement, Vision, Values and Performance Standards.

  • Performs other related duties as assigned or described in Company policy

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)

  • 3+ years of experience in healthcare collections setting.

  • 3+ years of experience with client accounts collections

  • Knowledge of Hospital billing regulations such as OPPS and IPPS

  • Knowledge of Federal, state and HIPAA privacy regulations

  • Intermediate Level Microsoft Office including Microsoft Word (ability to create, edit, save and send), Microsoft Outlook (ability to create, edit, save, and send), and Microsoft Excel (ability to create, filter, sort, tables)

  • You will be required to adhere to UnitedHealth Group's USTelecommuting Policy

  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app,Interactive Voice Response (i.e., entering your symptoms via phone system) orsimilar UnitedHealth Group-approved symptom screener. When in a UnitedHealthGroup building, employees are required to wear a mask in common areas. In addition,employees must comply with any state and local masking orders

Soft Skills:

  • Ability to work with client account managers to ensure accounts are setup according to their negotiated contract rates

  • Strong cognitive skills including analysis, problem solving, high attention to detail, and decision making

  • Ability to work collaboratively with other team members to support data quality and integrity initiatives

  • Ability to work on multiple assignments concurrently within established timeframes

  • Ability to multi-task, establish and meet deadlines

  • Ability to work in fast-paced environment and maintain accuracy

  • Strong verbal and written communication skills

  • Ability to troubleshoot and recommend root cause solutions to problems

  • Above average organizational and time management skills

  • Must understand the importance of month-end attendance in order to successfully meet deadlines generating/delivery of all client statements

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

Some of the steps we've taken to ensure employee well-being include:

  • Transitioned our new hire training classes tobe conducted virtually

  • Launched our ProtectWell app and UnitedCARESprogram to help ease the burden and stress for our UnitedHealth Group teammembers and their immediate family affected by COVID-19

  • Daily updates from our CEO Dave Wichmann tosupport and inspire team members during this challenging time

  • Onsite social distancing and increasedsanitization measures for employees who have been welcomed back to our offices

  • Fully cover the COVID-19 healthcare costs forour employees

  • Employees who self-identify as high risk or wholive with someone who is high risk have been asked to remain working from home

You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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.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.

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