Position Description: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 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 health care 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. The Non - Government Collector is responsible for performing the collection functions within a payer team in the Patient Financial Services unit of Optum360 - Phoenix. The primary purpose of this position is to provide self-pay and third party payer collection activities for the Optum360 member hospitals. The position works in a cooperative team environment to provide value to customers (internal or external).The Non - Government Collector maintains thorough and detailed knowledge of collection laws and third party payer claims processing and ensures compliance with state laws regarding all cash processes as evident through cash collections. Demonstrates an understanding of state insurance laws and the various appeals processes including but not limited to Insurance Commission filings. Demonstrates an understanding of benefits requirements, on-line claims editing, submission, and reconciliation procedures.This position will perform rebilling functions as appropriate and exhibits knowledge of UB92 and 1500 bill forms and filing requirements and will function as a subject matter expert in assisting Customer Service and Collection Team Members as well as other payer team members. Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets customer expectations and requirements, and gains customer trust and respect.Primary Responsibilities: Receive and review all correspondence daily Follow up on assigned insurance accounts Assist all hospital employees with any needs that arise Notify Management of any issues or concerns that may arise Our ideal candidate is an adept communicator; deadline oriented, and self - motivated, with excellent follow - up and customer service skills Works on various tasks using established procedures Depends on others for guidance Work is typically reviewed by others
Required Qualifications: High School Diploma / GED (or higher) 1+ years of related experience with either healthcare billing or healthcare collections or both Working knowledge of insurance carriers' billing regulations and requirements including claims submission, claims follow-up, appeals process, and focused review processes Understanding of state insurance laws and the various appeals processes including but not limited to Insurance Commission filings Understanding of benefits requirements, on-line claims editing, submission, and reconciliation proceduresPreferred Qualifications: Knowledge of collection laws and third party payer claims processing and ensures compliance with state laws regarding all cash processes as evident through cash collectionsSoft Skills: Demonstrated success working in a team environment focused on meeting organization goals and objectivesCareers 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 employerand all qualified applicants will receive consideration for employment withoutregard to race, color, religion, sex, age, national origin, protected veteranstatus, disability status, sexual orientation, gender identity or expression,marital status, genetic information, or any other characteristic protected bylaw. UnitedHealth Group is a drug-free workplace.Candidates are required to pass a drug test before beginning employment.Keywords: UnitedHealth Group, Optum, Healthcare, healthcare billing, claims submission, claims follow-up, appeals process, healthcare collections, benefits requirements, on-line claims editing, submission, reconciliation procedures, third party payer claims
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.