Billing Representative

Patient Pay Billing 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.

The Patient Pay Billing Representative plays a critical role within Optum, a division of UnitedHealth Group, supporting patient account resolution and delivering a high-quality financial experience. This role contributes directly to improving healthcare access and outcomes by ensuring accurate, timely, and compliant collection of patient balances.

As part of one of the fastest-growing organizations in healthcare, the representative works in a dynamic, patient-focused environment and collaborates with cross-functional teams to drive results. The position offers the flexibility to work remotely within the United States while being part of a high-performing team dedicated to operational excellence and patient satisfaction.

This position is full time. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 10:00 am - 7:00 pm CST, including a one-hour lunch break. This will be on the job training and the hours during training will be normal business hours, Monday - Friday.

Primary Responsibilities:

• Review and prioritize open Accounts Receivable (AR) for patient collections
• Handle inbound patient calls and conduct outbound collections outreach
• Ensure timely and accurate follow-up on delinquent accounts
• Collaborate with onshore and offshore teams to drive account resolution within target timelines
• Analyze, document, and manage key accounts and escalations
• Identify trends or issues and escalate to leadership as needed
• Deliver excellent customer service to patients and internal stakeholders
• Ensure compliance with all regulatory, payer, and company policies
• Process Account Receivable reviews and correction requests within defined turnaround times
• Processing patient payments
• Support additional tasks and projects as assigned

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of experience in medical collections and billing
• Knowledge of health insurance coverage and the ability to communicate patient financial responsibilities clearly and professionally
• Experience with assisting patients in understanding their financial responsibility, insurance coverage, benefits, out-of-pocket costs, and / or any other billing-related inquiries
• Proficiency with using Microsoft Office (Microsoft Word, Microsoft Excel, Microsoft Outlook)
• Ability to read and interpret EOBs (Explanation of Benefits)
• Ability to work any of our full time, shift schedules during our normal business hours of 10:00 am - 7:00 pm CST, including a one-hour lunch break

Preferred Qualifications:

• 1+ years of experience in pharmacy billing and collections
• 1+ years of experience with handling patient billing customer service (via phone, email, etc.)
• Knowledge of NDC, ICD-10, HIPAA, and compliance regulations
• Understanding of collections practices aligned with FDCPA guidelines
• Manufacturer Copay Assistance Programs OR Patient Assistance Programs experience
• Experience in Home Infusion and / OR Specialty Pharmacy
• Experience in a call center OR voice-based role
• Experience with handling patient medical collections, including follow-up and payment resolution

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

Soft Skills:

• Strong communication and customer service skills

*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 $18 - $32 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.

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.