Collections Representative

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.

This position is part of the Patient Financial Services AR Recovery Team and is responsible for resolving outstanding payer balances in accordance with regulatory and contractual obligations. The critical tasks of this position include resolving payer denials by way of understanding payer policies, contacting the payer, appealing, or resubmitting the claim. Critical tasks also include understanding and reconciling the open-payer balances in accordance with a payor's contract.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 4:30 PM EST (Eastern Standard Time zone) based on business need.

We offer 4 weeks of training. The hours during training will be 8:00 AM - 4:30 PM EST (Eastern Standard Time zone). Training will be conducted virtually from your home.

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements
• Work closely by way of problem solving with peers and leaders to address payer issues or changes that directly impact the accounts receivable
• Resolve assigned accounts in a timely and accurate manner, which maximizes reimbursement in compliance with payer regulations and the department's policy and procedures
• Take necessary AR adjustments in accordance with the department's adjustment policy
• Meet or exceed the Northern Light Health performance standards as it relates to quality and productivity
• Request relevant information from appropriate revenue cycle and clinical departments as required by payer
• Ensure assigned discharged and final billed accounts are not aging and are escalated timely
• Thoroughly understand the department's key performance indicators
• Maintain the knowledge of payer policies; complete AAHAM or other healthcare related webinars
• Other 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+ year of healthcare back-end revenue cycle experience (billing, collections, or A/R)
• Experience working with denied healthcare claims
• Experience working with insurance companies to verify the status of denied claims and ensure timely payment
• Ability to work full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 4:30 PM EST (Eastern Standard Time zone) based on business need

Preferred Qualifications:

• Experience working with Medicare Advantage payers

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

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

Client-provided location(s): Phoenix, AZ, Minneapolis, MN, Tampa, FL, Dallas, TX, Hartford, CT

Job ID: UHG-2299889

Employment Type: FULL_TIME

Posted: 2025-07-23T00:34:01