Senior Recovery Resolution Representative - Remote in Multiple Locations within Central Time Zone

Company: UnitedHealth Group
Location: Piedmont
Posted on: September 14, 2023

Job Description:

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 challenges.
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 weekends. -
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.
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)
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 overnight)


Preferred Qualifications:

Bachelor's Degree (or higher)
2+ years of Account Management or Customer Service experience.

• 3+ years of experience in claims recovery and resolution, or an operations-based environment.
  Healthcare finance experience with a focus in auditing and/or analysis.
  Previous experience working in a client facing role and/or working onsite at a client site.
  
  Previous leadership experience.
  
  Telecommuting Requirements:
  
  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 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.
  
  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 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.
  -
  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.
  #RPO #YELLOW

Keywords: UnitedHealth Group, Edmond , Senior Recovery Resolution Representative - Remote in Multiple Locations within Central Time Zone, Accounting, Auditing , Piedmont, Oklahoma