Job type full-time
Full job description
You’ll enjoy the flexibility to telecommute* from anywhere within the u.sAs you take on some tough challenges.
Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you getLeading edge technology in an industry that`s improving the lives of millionsHere, innovation isn`t about another gadget, it`s about making healthcare data available wherever and whenever people need it, safely and reliablyThere`s no room for errorJoin us and start doing your life’s best workSm
Our senior recovery / resolutions representative (credit balance) are the focal point of handling information about services patients receive and the way those services get paidIt`s complex, detailed workIt`s also fast-paced and challengingIt`s a job that calls on you to be thoughtful, resourceful, team-driven and customer - focusedTo put it mildly, there is never a dull moment.
This role handles information about patient services and how those services are paid by investigating and pursuing recoveries through contact with various partiesThere are 2 primary functionsFirst, reviewing and analyzing contract rates on credit balance accounts at the hospital business officeYou will be required to use basic math in all your daily activitiesAs field - based employees who work onsite at our client’s offices; relationship building, and growth is another crucial function of the positionAcclimating to our client’s environment and learning about their primary goals and objectives is essential and ensures a successful partnershipResponsibilities include regular communication with client contacts at all levels to follow - up on open ar, discuss reporting, projects and identifying opportunities for growth of the business partnershipWe offer the latest tools along with the most intensive training program in the industry and nearly limitless opportunities for advancementThis position also offers quarterly incentives based on performance.
This position is full-time (40 hours/week) monday - fridayEmployees are required to work our normal business hours of 8:00am – 5:00pmIt may be necessary, given the business need, to work occasional overtime or weekendsTraining 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, and resolving all types of accounts in a credit balance to bring final resolution and root cause analysis for health plans, commercial customers and government entities
Fundamental execution: plan, prioritize, organize and complete work to meet established production goals, quotas and deadlines in a fast-pace and ever-changing environment
Communicate and / or meet with the provider appropriately to ensure optum is meeting the needs and expectations of the provider and build a good rapport with the provider contacts by establishing professional working relationships to ensure operational efficiency
Anticipate customer needs and proactively identifies solutions, be accountable for improving business operations
Accounts receivables follow up and resolution
Analyze and identify trends and provide reporting as necessary
Work independently with little direct onsite supervision
Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
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.
High school diploma / ged (or higher)
2+ years of account management or customer service experience
2+ years of healthcare finance experience with a focus on auditing and / or analysis
3+ years of experience in claims recovery and resolution or an operations-based environment
Intermediate level of proficiency with microsoft excel (sorting, summing, creating bar graphs, and formulas)
Ability to travel up to 25% of the time (generally local, but some overnight)
Ability to work 40 hours and overtime if business needs dictate
Full covid-19 vaccination is an essential requirement of this roleUnitedhealth group will adhere to all federal, state, and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.
Bachelor’s degree (or higher)
Previous leadership experience
Basic proficiency in math and thinking analytically
Previous experience working in a client facing role and / or working onsite at a client site
Dedicated work area established that is separated from other living areas that provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Residing in a location that can receive a high-speed internet connection (additional information on unitedhealth group approved internet providers and restrictions will be provided)
Ability to work in a dynamic environment both independently and in a group setting
Strong communication and customer service skills
Physical requirements and work environment:
Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouse, speaking, listening using a headset.
Business office environment with moderate noise level due to representatives talking, computers, printers, and floor activity
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Military & veterans find your next mission: we know your background and experience is different and we like thatUnitedhealth group values the skills, experience and dedication that serving in the military demandsIn fact, many of the values defined in the service mirror what the unitedhealth group culture holds true: integrity, compassion, relationships, innovation and performanceWhether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journeyLearn more at https://uhg.hr/transitioning-military
Learn how teresa, a senior quality analyst, works with military veterans and ensures they receive the best benefits and experience possibleHttps://uhg.hr/vet
Careers with optuminsight Information and technology have amazing power to transform the healthcare industry and improve people`s livesThis is where it`s happeningThis is where you`ll help solve the problems that have never been solvedWe`re freeing information so it can be used safely and securely wherever it`s neededWe`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 millionsThis is where the best and the brightest work together to make positive change a realityThis is the place to do your life’s best workSm
Colorado, connecticut or nevada residents only: the salary range for colorado residents is $17.12 to $30.34The salary range for connecticut / nevada residents is $18.80 to $33.41Pay is based on several factors including but not limited to education, work experience, certifications, etcIn 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.
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 workplaceCandidates are required to pass a drug test before beginning employment.
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