Collections Specialist

Requisition Number: 2372175
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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.
The Collections Specialist 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 8:00 am - 4:30 pm EST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of training. The hours during training will be 8:00 am - 4:30 pm EST. Training will be conducted virtually from your home.
Primary Responsibilities:

• Reassigning clinical denial accounts to the appropriate team responsible for handling appeals.
• 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
• 2+ years of accounts receivable experience, within a healthcare setting
• 1+ years of experience in Commercial, Medicare, or Medicaid payers
• Ability to work 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 8:00 am - 4:30 pm EST. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• 1+ years of experience as a subject matter expert or in a team training capacity
• Experience working with insurance companies to verify the status of denied claims and ensure timely payment
• Experience in acute and critical access billing, medical necessity denials, observation billing, and in paid out billing

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 salary for this role will range from $49,700 to $88,800 annually 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.