Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

As a Senior Medical Collection Representative with Optum360, you will work with your team members to help identify and resolve issues and serve as a resource for day-to-day operations. Your primary role will be to contact and consult with patients and/or their families who have outstanding medical bills. While ensuring that payment is received for these bills is important, you will also need to provide assistance and support to these individuals as they may be dealing with a medical or financial crisis.

This position is full-time (40 hours/week) with our site Hours of Operation from 10:00 am - 7:00 pm or 11:00 am - 8:00 pm with one Saturday per month (8:00 am - 2:30 pm.) We do require our employees to be flexible enough to work any shift, any day of the week during those hours.

Primary Responsibilities:

• Serve as a resource or Subject Matter Expert (SME) for other team members or internal customers to help identify and resolve issues
• Handle escalated and complex customer issues, helping to provide resolution and settlement of account
• Contacts customers through a variety of methods (e-mail, form letters and phone calls) to discuss, negotiate payment and resolve outstanding medical bill accounts and balances
• Obtains agreement, after discussion with customer, on potential balance payoff and/or payment terms within stated level of authority and guideline limits
• Performs research and documents on various computer systems customer information regarding current status, payment expectations, notes of conversations and other relevant information
• Prepares and submits reports to internal management on status of outstanding medical bills and proposed/planned payment settlement details
• May in some instances transfer settlement of account and related information to external collection agencies and remains in contact with them regarding further payment activity
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
• 1+ years healthcare billing and collections experience (claims processing, appeals and denials)
• Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed

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.

Optum is a drug-free workplace. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved.