Collector 3

OVERVIEW OF POSITION:

Responsible for performing complex or specialized collection functions by interfacing with various departments, insurance carriers, patients and providers while ensuring good patient and provider relations. Serves as patient advocate to help resolve problems pertaining to patient statements as well as any other issues that may arise.

ESSENTIAL FUNCTIONS:

• Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
• Provides timely resolution to incoming calls to the Business Office.
• Returns telephone messages left on the ACD voicemail box according to department standards.
• Documents all calls as clearly and precisely at the time of call.
• Researches on inquiries from callers (patients, site staff, insurance companies, etc.) in a timely manner.  Performs necessary follow-up to ensure timely resolution of patient concerns and inquiries including appeals, re-billing, obtaining updated insurance information, identifying and correcting billing errors, etc.
• Maintains department productivity standards.
• Maintains up-to-date information on Medicare laws, HCFA requirements, PPO contractual arrangements and other third-party payors.
• Performs collection activities on assigned work files according to department procedures.
• Uses, protects, and discloses Optum patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Performs additional duties as assigned.

  EDUCATION:

• High school diploma, G.E.D. or equivalent experience. 
• Some college preferred.

  EXPERIENCE:

  Minimum:

• Over 3 years and up to and including 5 years of experience.

  Preferred:

• 3 to 5 years experience in a medical business office.
• Previous leadership experience.

  KNOWLEDGE, SKILLS, ABILITIES:

• Computer literate.
• Knowledge of CPT and ICD-9 coding.
• Knowledge of Medicare laws, HCFA requirements, PPO, HMO, Medi-Cal, Worker’s Compensation and third-party billing and collection guidelines.
• Knowledge of HCFA and California Industrial fee schedule billing requirements preferred.
• Working knowledge of current state and federal laws governing collections preferred.
• Strong customer-service skills.
• Ability to handle difficult situations in a positive manner.
• Good verbal and written communication skills.  Must have good command of the English language in order to document all calls using complete sentences and correct spelling.
• Organized, flexible and detail-oriented
• Bilingual-Spanish preferred.

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) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with OptumCare. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. OptumCare, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Here you’ll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.(SM)

Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers 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. OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.