Senior Recovery Resolutions Representative - Remote In Cst Or Est

If you are located within CST or EST, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

The health care system is still evolving at a rapid pace. Technology is driving new advances in how patient care is delivered and how it's reimbursed. Now, UnitedHealth Group invites you to help us build a more accurate and precise approach to claims adjudication. As part of our Recovery and Resolutions team, you'll help understand and overcome errors in claims processing. You'll have all the tools and backing you need to help manage subrogation files, negotiate settlements, and ensure adherence to compliance policies. All the while, you'll be building your career with a leader and reaching for the highest levels of performance as you do your life's best work.SM

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 (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

• Provide expertise by reviewing, researching, resolving all accounts from credit balance to bring final resolution and root cause analysis for health plans, commercial clients, and government entities
• Fundamental Execution: Plan, prioritize, organize, and complete work to meet established production goals required by provider and payer clients, Optum goals, quotas, and deadlines in a fast-paced ever-changing environment.
• Provide top quality by researching accounts fully, reviewing and adhering to payer, provider and Optum quality requirements.
• Client facing account management:
• Represent Optum and Optum's core values; act as a liaison between provider clients, Optum and payer clients.
• Communicate and/or meet with the provider client appropriately to ensure Optum is meeting their needs and expectations.  Building a good rapport with the provider client contacts by establishing professional working relationships to ensure operational efficiency.
• Anticipates client needs and proactively identifies solutions.
• Be accountable for improving business operations.
• Inventory Management:
• Account's receivables follow up, resolution and ensuring AR is resolved within 30 days. Follow up includes researching why inventory is outstanding with the provider and payer clients.
• Manage multiple different inventory work queues and workflows including Multiple payers, provider client referred inventory and unsolicited inventory.
• Reporting & Analysis: Analyze and identify trends, provide reporting as necessary to the provider clients, management, and Client Services.
• Utilize various reports to manage inventory, follow up as needed and drive client relationships work independently with little direct onsite supervision.
• Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance

This is a challenging role with serious impact. You'll need to sort through complex situations to understand and clarify where errors happened or where they may continue to happen. It's a fast-paced environment that takes focus, intensity, and resilience.

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 (or higher)
• 2 years of Account Management or Customer Service experience.
• Intermediate level of proficiency with Excel required (i.e., sorting, summing, edit/filter).
• Previous experience working in a client facing role and/or working onsite at a client site.

Preferred Qualifications:

• Bachelor's Degree (or higher)
• Ability to travel, up to 25% of the time (generally local, but some overnight), if needed.
• 3 years of experience in claims recovery and resolution, or an operations-based environment.
• Previous leadership experience.
• Healthcare finance experience (hospital and physician preferred) with a focus in auditing and/or analysis.

Telecommuting Requirements:

• Reside with CST OR EST
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Strong communication and customer service skills.
• Exceptional organizational/time management skills
• Basic proficiency in math, thinking analytically and strategically.
• Previous work within the community giving back or volunteering time and resources.
• Ability to work in a dynamic environment both independently and in a group setting

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.

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.SM

Connecticut or New York City Residents Only: The salary range for Connecticut / New York City residents is $18.80 - $36.78.Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies required all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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