Senior Recovery Resolution Representative

UnitedHealth Group•Tampa, FL

1d•$20 - $36•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. 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, Monday - Friday. Employees are required to have flexibility to work during our normal business hours of 8:00 AM - 5:00 PM. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Requirements

High School Diploma or GED OR equivalent work experience
Must be 18 years of age OR older
1+ years of healthcare claims experience
Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work during our normal business hours of Monday - Friday, 8:00 AM - 5:00 PM. It may be necessary, given the business need, to work occasional overtime.
Strong written and verbal communication skills.
Ability to work in a team.

Nice To Haves

1+ years of experience in applications EDSS/Doc360, PICTS/CAP and Macess
1+ years of experience with computer and Windows PC applications, including the ability to learn new and complex systems
Experience with the following Claims Platforms: ODAR, UNET, COSMOS, CPA, ISET, NICE, FACETS, CSP, and / or Oxford
Ability to research and understand history screens on multiple applications / platforms
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.

Responsibilities

Provide claims expertise support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
Analyze, identify trends and provide reports as necessary
Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance