This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description 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. This position is full time (40 hours/week) 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 – 5:00 pm. It may be necessary, given the business need, to work occasional overtime. This will be on the job training and the hours during training will be 8:00 am to 5:00 pm, Monday – Friday. Primary Responsibilities: - Collecting, reconciliation, research, correspondence, and independent problem solving. - Reconciles complex, multi-payment accounts. - Submits appeal letters on underpaid claims as directed. - Interprets payer contracts to determine if payment and adjustment is accurate. - Reviews EOB's for denials, along with posting corrected adjustments in order to balance accounts. - Identifies needs for process improvements and creating/enhancing processes in the PFS department. - Promotes positive teamwork within department and among employees. - Works with all hospital departments for proper coding and billing procedures. - Follows all departmental, hospital, and regulatory policies and procedures, including HIPAA requirements. - Utilizes top customer service skills with all customers: patients, government agencies and commercial insurances. - Reconciles accounts on a daily basis to determine underpayment, overpayment or contractual adjustment correction. - May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. - Coordinates with other staff members and physician office staff as necessary to ensure correct processing. - Reconciles, balances, and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement. - May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. - Makes appeals and corrections as necessary. - Builds strong working relationships with assigned business units, hospital departments or provider offices. - Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. - Provides assistance to internal clients. - Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. - Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. - Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. - Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. - Works independently under general supervision, following defined standards and procedures. - Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. - External customers include all hospital patients, patient families and all third-party payers. - Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. Qualifications - High School Diploma/GED - Must be 18 years OR older - 1+ years of hospital/facility collections experience, including follow‑up, appeals, and denied claims - 1+ years of recent experience in follow-up with Medicaid or Medi-Cal Managed Care plans, including handling appeals and denials. - Experience navigating within an insurance portal to work denied hospital claims to resolution. - Experience reviewing and interpreting UB 04 claim forms, including CPT, ICD 10, and HCPCS. - Proficient in Microsoft Office Suite – including Microsoft Word, Microsoft Excel, and Microsoft Outlook - Ability to work Monday – Friday, 08:00 am – 05:00 pm CST Preferred Qualifications - Experience with follow up on Medi-Cal or Medi-Cal Managed Care - Working knowledge of ICD-10 and CPT/HCPCS 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. Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) 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. Company Description 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.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We’re hiring Remote Account Specialists to help consumers resolve their medical accounts. If you’re motivated, goal-driven, and confident communicating in challenging situations, this is a high-earning opportunity with long-term career potential. We provide paid training. What You’ll Do - Communicate with consumers by phone to resolve outstanding medical accounts - Provide clear, professional guidance and offer achievable financial solutions - Use problem-solving skills to navigate difficult conversations - Meet performance goals in a fast-paced, competitive environment Qualifications - High school diploma or GED - Strong communication skills - Ability to think quickly and stay professional under pressure - Drive to meet goals and earn uncapped commission Benefits - Hourly Pay + Uncapped commission - Full benefits package (Medical, Dental, Vision, Supplemental) - Company-paid $10,000 life insurance policy - 401(k) with 4% company match after 60 days - Performance incentives, bonuses, and referral rewards - Advancement opportunities - Supportive, team-focused culture - 401(k) - 401(k) matching - Dental insurance - Employee assistance program - Flexible spending account - Health insurance - Health savings account - Life insurance - Paid time off - Referral program - Retirement plan - Vision insurance Company Description We are the nation’s largest purchaser of healthcare receivables, known for treating patients with professionalism, empathy, and respect. Our team helps consumers find realistic financial solutions while representing our clients with integrity. The AssetCare mission is to help people burdened with medical debt achieve long-term financial wellness through a compassionate, flexible, and patient-focused approach, while enabling healthcare providers to improve financial outcomes.

Scheduled Hours 40 Position Summary Performs advanced billing and collection activities. Acts as Lead IBC Assistant. Makes collection calls, verifying accuracy and completeness of claims, contacts insurance companies and collection agencies in regards to expediting payments from various payers for physician’s services. Handles discounts, adjustments and charge corrections. Job Description Primary Duties & Responsibilities: - Performs insurance follow-up billing and collection duties on various financial classifications to ensure timely and accurate payment of physician charges. - Reviews patient accounts to verify the accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information, or other appropriate handling. - Utilizes Epic, system tools, and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry. - Makes collection calls to insurance companies and/or patients to ensure timely payment of claims. - Contacts insurance companies regarding posting payments and collection agencies regarding payment reports. - Supports customer service unit in answering billing and collection questions. - Assists with training new staff. - Consistently meets the Quality Assurance (QA) and meaningful efficiency standards of working invoices each day and follows best practices for one-touch resolution as established within the department. - Interacts with management and staff members to discuss issues. - May act as Team Lead. - Assists with special projects. - Performs other duties as assigned by the supervisor and/or manager. Working Conditions: Job Location/Working Conditions: - Normal office environment. Physical Effort: - Typically sitting at desk or table. - Repetitive wrist, hand or finger movement (PC typing). Equipment: - Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Billing Or Insurance (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles. Preferred Qualifications Education: Associate degree Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone System Grade C08-H Salary Range $20.57 - $30.84 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal - Up to 22 days of vacation, 10 recognized holidays, and sick time. - Competitive health insurance packages with priority appointments and lower copays/coinsurance. - Take advantage of our free Metro transit U-Pass for eligible employees. - WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness - Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family - We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered. - WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

Scheduled Hours 40 Position Summary This position performs advanced billing and collection activities. May act as a Lead IBC Assistant. Makes collection calls, verifying accuracy and completeness of claims, contacts insurance companies and collection agencies in regards to expediting payments from various payers for physician’s services. Handles discounts, adjustments and charge corrections. Job Description Primary Duties & Responsibilities: - May act as a Lead IBC Assistant. May train and provide guidance to other IBC Assistants. - Performs collection follow-up duties on specific financial classifications, such as commercial insurance, self-pay, Medicare and Medicaid claims. - Handles discounts, adjustments and charge corrections. - Makes collection calls to insurance companies and patients to ensure timely payment of claims. - Reviews remittance advises for rejection and accuracy of payment amounts. - Verifies accuracy and completeness of charge tickets, monitors attachments for claims to obtain maximum reimbursements. - Contacts insurance companies regarding posting payments and collection agencies regarding payment reports. - Responds to questions and requests from insurance companies. - Supports customer service unit in answering billing and collection questions. - Acts as back-up support for Accounts Receivable staff during peak times, vacations and illnesses. Working Conditions: Job Location/Working Conditions: - Normal office environment. Physical Effort: - Typically sitting at desk or table. - Repetitive wrist, hand or finger movement (PC typing). Equipment: - Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Billing Or Insurance (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles. Preferred Qualifications Education: No additional education unless stated elsewhere in the job posting. Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: Post-Secondary Education (2 Years) Skills: Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Medical Terminology, Office Equipment, Telephone System Grade C08-H Salary Range $20.57 - $30.84 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal - Up to 22 days of vacation, 10 recognized holidays, and sick time. - Competitive health insurance packages with priority appointments and lower copays/coinsurance. - Take advantage of our free Metro transit U-Pass for eligible employees. - WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness - Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family - We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered. - WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.