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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
AR Collector is responsible for performing complex or specialized AR 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.
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 – 6pm PST. It may be necessary, given the business need, to work occasional overtime. Employees are required to work on-site once a week.
We offer weeks of paid training. The hours during training will be 7am to 3:30pm PST, Monday – Friday. Training will be conducted onsite.
If you are within commutable distance to the office at 19191 S Vermont Avenue Torrance, CA, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.
Primary Responsibilities:
- 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
- Documents calls as clearly and precisely at the time of call
- Maintains department productivity standards: 56 accounts daily and monthly quality audits of 95% accuracy
- Performs collection activities on assigned work files according to department procedures
- Maintains proper aging of accounts receivable
- Performs precise audits of patient accounts to ensure accuracy of charges, payments and adjustments
- Monitors payments to ensure payers conform to agreed fee schedules. Contacts patients and insurance carriers regarding delinquent accounts
- Demonstrates special ability in dealing with patients regarding sensitive financial matters and recapturing unpaid balances
- Negotiates payment plans
- Identifies delinquent accounts for assignment to outside collection agencies
- 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
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
- Must be 18 years of age OR older
- 1+ years of current professional medical collection experience
- Experience with CPT/ICD-10 coding
- Knowledge of HCFA requirements
- Working knowledge of contracted insurance plans
- Working knowledge of current state and federal laws governing collections
- Proficiency with Microsoft Office to include Microsoft Outlook, Microsoft Excel and Microsoft Word, Teams
- Ability to work on-site once a week
- Ability to work any of our 8-hour shift schedules during our normal business hours of 7am – 6pm PST, Monday – Friday
Preferred Qualifications:
- Knowledge of California industrial fee schedule billing requirements
- Knowledge of clearing houses and HealthPlan portals
- Bilingual fluency in English and Spanish
Telecommuting Requirements:
- Reside within commutable distance to the office at 19191 S Vermont Avenue Torrance, CA
- 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
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
