Job summary
Job post source
This job is directly from Optum, in partnership with Northern Light Health.
Job overview
The Collections Representative role at Optum supports the Patient Financial Services AR Recovery Team by resolving outstanding payer balances to ensure accurate reimbursement and compliance with payer policies.
Responsibilities and impact
The representative will resolve payer denials, appeal or resubmit claims, reconcile open balances, participate in team meetings, collaborate with peers and leaders, meet performance standards, and maintain knowledge of payer policies.
Compensation and benefits
The position offers an hourly pay range of $17.74 to $31.63 based on experience and location, along with a comprehensive benefits package including incentive programs, equity stock purchase, and 401k contributions, subject to eligibility.
Experience and skills
Candidates must have a high school diploma or GED, be at least 18 years old, have 1+ years of healthcare revenue cycle experience, and experience with Medicare denied claims and insurance verification; experience with Medicare systems like FISS/Connex is preferred.
Career development
The role provides clear performance expectations and development opportunities for advancement within the company.
Work environment and culture
The company promotes a compassionate culture focused on caring, connecting, and growing together, with flexible telecommuting options and a commitment to diversity and equity.
Company information
Optum partners with Northern Light Health, a statewide healthcare system in Maine, offering personalized and streamlined healthcare services across various settings.
Team overview
The position is part of the Patient Financial Services AR Recovery Team, working collaboratively to resolve accounts receivable issues.
Job location and travel
This is a full-time remote position with telecommuting allowed anywhere in the U.S., with required flexibility for shifts during normal business hours 8:00 AM - 4:30 PM EST.
Application process
Applicants must apply within at least 2 business days or until a sufficient candidate pool is reached, and must pass a drug test before employment.
Unique job features
The job features virtual training from home, telecommuting flexibility, and involvement in a healthcare revenue cycle role with a focus on Medicare claims and payer policy expertise.
Company overview
Optum is a leading health services and innovation company that operates as part of UnitedHealth Group. It provides a wide range of healthcare solutions, including data and analytics, pharmacy care services, and healthcare delivery and operations. Optum generates revenue through its diverse portfolio of services aimed at improving healthcare efficiency and outcomes. Key historical milestones include its formation in 2011 and subsequent growth through strategic acquisitions and partnerships, positioning it as a significant player in the healthcare industry.
How to land this job
Position your resume to highlight your experience with healthcare revenue cycle processes, especially billing, collections, and accounts receivable, as this role focuses heavily on resolving payer balances and denied claims.
Emphasize your knowledge of Medicare and insurance claim denials, your ability to navigate payer policies, and your skills in claim appeals and resubmissions, which are critical for success in this Collections Representative role.
Apply through multiple channels including Optum's official corporate careers page and LinkedIn to maximize your chances of being noticed for this position.
Connect with current employees in the Patient Financial Services or AR Recovery Team divisions at Optum on LinkedIn; you can break the ice by mentioning your interest in their work resolving healthcare claims or asking about their experience with the virtual training and telecommuting setup.
Optimize your resume for ATS by incorporating keywords from the job description such as 'payer denials,' 'Medicare claims,' 'accounts receivable,' 'claim appeals,' and 'revenue cycle,' ensuring it passes initial automated screenings.
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