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Associate Collections Representative

100% Remote Full-time Open now

Optum is focused on improving the flow of health data and information to create a more connected system. The Associate Collections Representative will manage third-party accounts receivable, analyze claims, and coordinate with insurance carriers to resolve issues.

Responsibilities

  • Responsible for managing Third - Party AR by analyzing denied and un-responded claims
  • Outbound calls to insurance carriers to appeal and check claims status
  • Post explanation of benefits
  • Coordinate with insurance carriers to reconcile / resolve any issues
  • Familiar with explanation of benefits
  • Maintain Compliance and HIPAA standards at all times
  • Meet or exceed daily production standards by maintaining work list according to metrics
  • Meet or exceed daily quality standards
  • Perform other duties and functions as assigned
  • Process insurance / patient refunds and adjustments
  • Evaluate and respond to all emails request for any deposit issues in order to resolve in a timely matter

Skills

  • High School Diploma / GED
  • Must be 18 years of age OR older
  • Ability to create and modify spreadsheets within Microsoft Excel
  • Ability to work between the hours of 8:00 am - 5:00 pm PST from Monday - Friday
  • Reside within a commutable distance from 8407 Fallbrook Ave West Hills, CA 91304 with ability to come onsite for meetings
  • 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
  • Ability to navigate on internet for researching purposes
  • Problem solving, organization and interpersonal skills
  • Ability to work independently and as part of a team
  • Communication skills, both verbal and written
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  • Medical Billing experience
  • Familiar with explanation of benefits

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution

Company Overview

  • Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group. It was founded in 2011, and is headquartered in Eden Prairie, Minnesota, USA, with a workforce of 10001+ employees. Its website is https://www.optum.com/.
  • Company H1B Sponsorship

  • Optum has a track record of offering H1B sponsorships, with 648 in 2025, 559 in 2024, 620 in 2023, 851 in 2022, 593 in 2021, 438 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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