10 days old

Collections Representative (Job Fair) - Phoenix, AZ and Sacramento, CA

Phoenix, AZ 85003
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  • Job Code
    861866

Join Us for Our Job Fair
Thursday, March 5, 2020 from 11:00am to 6:00pm
PCOE Office
4129 E. Van Buren Street
Phoenix, AZ 85008
Register here for the event at: https://uhg.hr/PhxJobFair3-5

We strongly encourage you to apply in advance of the event if you are interested in this opening. Attendance at the event isn't required to be a candidate for potential employment.

Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.SM


Primary Responsibilities:

  • Ensure all claims are billed and received by the payers for proper adjudication. This includes timely processing of allocated volume of accounts, based on established production guidelines and time parameters provided for workflow
  • Responsible for outbound calls and / or status inquiries via payers website validating receipt of medical claims and adjudication status within established timeframes
  • Display competent ability to access, navigate, and manage account information through phone calls and payer websites
  • Work any edits and denials in allocated workflow to achieve proper adjudication to payment. This includes, but is not limited to: verify insurance is correct, update insurance demographics, rebill claims not received, document the status of work performed, follow - up on outstanding adjudication items according to departmental guidelines, and is also responsible for billing secondary / tertiary claims along with providing supporting documentation to payers for additional payment
  • Perform scheduled follow up on accounts to include calls to payers and / or patients, as well as accessing payer websites, and resolving complex accounts with minimal or no assistance necessary
  • Effectively resolve complex or aged inventory, including payment research and payment recoups with minimal or no assistance necessary
  • Document all work and calls performed, in accordance to policy. This includes complete contact information, good grammar, and expected outcomes
  • Obtain primary and / or secondary EOB and claims to bill next responsible payer, along with utilizing various internal resources to obtain medical records to respond to requests from payers upon request
  • Accurately and thoroughly documents the pertinent collection activity performed
  • Maintain assigned worklists and resolve high priority and aged inventory
  • Identify and communicate issues to leadership, including payer, system or escalated account issues for timely resolution

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.

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Posted: 2020-03-20 Expires: 2020-04-21

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Collections Representative (Job Fair) - Phoenix, AZ and Sacramento, CA

UnitedHealth Group
Phoenix, AZ 85003

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