Senior Recovery Resolution Representative - Remote in Multiple Locations within Central Time Zone
Company: UnitedHealth Group
Posted on: September 14, 2023
If you are located within the states of -LA, WI, IL, AR, MS, MO,
IA,OK, TN, TX, MN, KS, AL, you will have the flexibility to
telecommute* (work from home) as you take on some tough
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 diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together.
This position is full-time, Monday - Friday. Employees are required
to work our normal business hours of 7:00am - 5:00pm CST. It may be
necessary, given the business need, to work occasional overtime or
We offer 4 weeks of paid training. The hours during training will
be 7am to 5pm CST, Monday - Friday. - -Training will be conducted
virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth
Group's Telecommuter Policy.
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
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
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
Anticipates client needs and proactively identifies solutions.
Be accountable for improving business operations.
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
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
High School Diploma/GED (or higher)
Intermediate proficiency with PC and Windows.
Intermediate level of proficiency with Excel (i.e., sorting,
summing, creating bar graphs, formulas).
Working Hours - 40 hours (Mon-Fri 7am-5pm CST) overtime if business
needs dictate but not regularly.
Ability to travel, up to 25% of the time (generally local, but some
Bachelor's Degree (or higher)
2+ years of Account Management or Customer Service
- 3+ years of experience in claims recovery and resolution, or an
Healthcare finance experience with a focus in auditing and/or
Previous experience working in a client facing role and/or working
onsite at a client site.
Previous leadership experience.
Reside within the states of LA, WI, IL, AR, MS, MO, IA,OK, TN, TX,
MN, KS, AL
Ability to keep all company sensitive documents secure (if
Required to have a dedicated work area established that is
separated from other living areas and provides information
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
Previous work within the community giving back or volunteering time
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 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
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.
Keywords: UnitedHealth Group, Edmond , Senior Recovery Resolution Representative - Remote in Multiple Locations within Central Time Zone, Accounting, Auditing , Piedmont, Oklahoma
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