Hybrid Revenue Cycle Accounts Receivables Medical Collections Representative - Overland Park, KS - UnitedHealth Group

If you are in Overland Park, KS, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.Join us to start Caring. Connecting. Growing together.

When in office, this function is responsible for processing mail (inbound and outbound,) which includes statements, claim forms, and other documents. 

When WAH this function is responsible for accurate and timely follow-up of accounts receivables including researching, analyzing, and resolving unpaid specialty pharmacy medical claims. Positions in this function contact payers to determine reason for non-payment and take appropriate action to recover amounts due.  Responsible for developing, implementing, maintaining, and managing organization policies on collection practices.

This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7am - 5pm CST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 6860 W 115TH ST Overland Park, KS. Employees will be required to work 2 days onsite and 3 days from home.

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

Primary Responsibilities: 

• Review open AR and prioritize medical claim activities

• Develop relationships with payers to obtain claim requirements and resolve root causes

• Assure that timely and accurate follow up activity is performed on all claims that are not paid within 45 days of submission.

• Responsible for review and documenting of key accounts.

• Identify issues/trends and escalate to Supervisor / Manager when assistance is needed.

• Provide exceptional Customer service to internal and external customers.

• Develop relationships with other departments to provide feedback about root cause issues

• Adhere to Regulatory / Payer Guidelines and policies & procedures.

• 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:

• 1+ years experience working in Microsoft office suite, specifically Excel, Outlook, and Word
• 1+ years of experience with specialty drug knowledge or pharmacy/medical claim billing /follow-up OR less than 1 year experience with valid medical billing / coding certificate

• Must be 18 years of age OR older
• Ability to work in the Overland Park office 2 days per week

• Ability to work any of our 8-hour shift schedules during our normal business hours of 7am - 5pm CST. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• Specialty Pharmacy experience

• Knowledge of NDC, ICD-10, and HIPAA
• Intermediate level skill in Microsoft Excel (using filters, sorting, conditional formatting, basic formulas)

Telecommuting Requirements:

• Reside within 30-45 minute radius of 6860 W 115TH ST Overland Park, KS

• 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.

At UnitedHealth Group, 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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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