You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. 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.
As the Manager Collections, you will be responsible for direction of the team to include overall operations and outcomes, process improvement, organizational issues and strategic plans and projects. You will collaborate, coach and mentor your supervisory team to ensure that they provide the support and direction necessary to achieve the financial and quality goals of the division.
This function is responsible for insurance premium collections. Positions in this function contact customers to determine reason for payment delinquency. Negotiate and advise on collection of overdue bills and take appropriate action to recover overdue payments. Handles unresolved inquiries/issues. Responsible for developing, implementing, maintaining and managing organization policies on collection practices. May work with outside legal counsel and/or outside agencies in more complex collection cases.
This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm CST). It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment.
- All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Manage the work of billing and collection team members by empowering, coaching, answering questions, giving guidance, and leading by example
- Oversee Insurance Services operations of Billing and collections functions, ensuring timeliness, accuracy, compliance and standards fulfillment as defined in customer Service Level Agreement
- Ensure that adequate procedures exist for accurate and timely processing of all claims.
- Provide team leadership by directing the assigned department and staff.
- Evaluate, and review activities of staff and processes associated with patient accounting including all functions of billing for hospital, clinic and physician services.
- Implement efficiencies in processes; provide project planning and management of assigned customers.
- Investigate and Communicate root cause issues associated with AR.
- Report staff performance to ensure quality productive service to our customers, while applying the policies and procedures of the customer and the company.
- Schedule customer onsite visits or telephonic communication sessions to address customer issues, trends and monthly reports.
- Update and maintain the Outstanding Issues list for each customer.
- Maintain staff training and reference manuals and materials.
- Participate in team selection, annual and midyear performance evaluations, training, coaching and corrective action.
- Other duties as assigned.
- Oversee business processes as contracted with the customer in order to increase cash flow, reduce days in receivable and improve operations via measurable success factors. In addition, ensure the success of company goals, by leading teams in billing, follow up, and other collection activities.
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:
- High School Diploma / GED
- 3+ years of experience providing direct management to a department in a healthcare environment.
- 3+ years of experience directing work activities associated with Insurance follow-up, Billing and Collections 3+ years of experience with claim forms and edits, both manual and electronic submissions (UB04-hospital charges AND CMS 1500
- - Physician charges)
- Advanced knowledge of CPT, ICD-9, HCPCS, and Revenue codes
- Intermediate skill level with Microsoft Excel (pivot tables) and Word (creating documents)
- Intermediate level of experience with Microsoft PowerPoint (creating slideshows)
- Must be 18 years of age OR older
- Ability to work 8:00am - 5:00pm CST
Preferred Qualifications:
- CPAR (Certified Patient Account Representative) or ACPAR (Advanced Certified Patient Account Representative) or higher Certification designation
- Ability to work in and maneuver through DDE and CWF/HIQA
Telecommuting Requirements:
- 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.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The annual range for California / Colorado / Connecticut / Hawaii / Nevada / New York / New Jersey / Washington / Rhode Island residents is $70,200 - $137,800 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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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