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Job Description
Join Optum as a Collections Representative, where you'll resolve outstanding payer balances and manage healthcare claims efficiently. Enjoy a supportive remote work environment, competitive pay, and comprehensive benefits while making an impact in healthcare.
Key Responsibilities
Resolve outstanding payer balances in accordance with regulatory and contractual obligations
Resolve payer denials by understanding payer policies and contacting the payer
Reconcile open payer balances as per the payer’s contract
Actively participate in team huddles and meetings
Work closely with peers and leaders to address payer issues
Ensure assigned accounts are not aging and are escalated timely
Maintain knowledge of payer policies and complete relevant training
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 Medicare on denied healthcare claims
Experience working with insurance companies to verify the status of denied claims and ensure timely payment
Ability to work full-time (40 hours/week) Monday - Friday
Preferred Qualifications
Experience working with Medicare System’s (FISS/Connex)
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programs401k contributionEquity stock purchase