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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Accounting/Finance

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Associate of Collections - Addison, TX

UHG - Addison, Texas

Posted: 11/12/2018

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.

Responsible for review, follow up and collections of third party accounts. Ensure adherence to department workflow policies and procedures, and identify process improvements in efficiency and quality. All duties are conducted in accordance with departmental and / or company wide standard operating procedures.

Primary Responsibilities:
  • Follow assigned payer (third party payers) guidelines when processing an appeal, reopening or written inquiry
  • Keep up with assigned third party payer plan coverage and changes
  • Properly document accounts
  • Review and recommend write off (adjustments) of accounts
  • Issue refunds with appropriate documentation
  • Maintain Issue log
  • Responsible for reporting problems and error to management in an effective and efficient manner
  • Attend and participates in departmental staff meetings
  • Maintain productivity standards as set by management
  • 10) Maintain quality standards as set by management
  • Other duties as assigned

Required Qualifications:
  • High School Diploma / GED (or higher)
  • 1+ years of medical billing experience
  • Thorough understanding of third party payers
  • Ability to work 40 hours a week between the hours of 7:00 am - 5:00 pm with the flexibility to adjust daily schedule and work overtime and / or weekends as needed
Preferred Qualifications:
  • 2+ years of billing experience
  • Citrix centricity experience
  • Emdeon and Avality experience
  • Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, work within tables, vlookups, pivot tables, utilize formulas), and Microsoft Outlook (email and calendar management)
Careers with Optum360. At Optum360, we're on the forefront of health care innovation. With health care costs and compliance pressures increasing every day, our employees are committed to making the financial side more efficient, transferable and sustainable for everyone. We're part of the Optum and UnitedHealth Group family of companies, making us part of a global effort to improve lives through better health care. In other words, it's a great time to be part of the Optum360 team. Take a closer look now and discover why a career here could be the start to doing your life's best work.

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.

Keywords: Billing; Collections, Addison, Optum360, Third Party

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