Collections Representative

Remote Patient Financial Services AR Recovery Team Member

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: 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 have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 4:30pm EST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

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

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years 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

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). 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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.