Senior Recovery \/ Resolutions Representative (Credit Balance) - Remote

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM

Clinical

Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as 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 get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work. SM

Our Senior Recovery / Resolutions Representative (Credit Balance) are the focal point of handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's also fast-paced and challenging. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer - focused. To 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 parties. There are 2 primary functions. First, reviewing and analyzing contract rates on credit balance accounts at the hospital business office. You will be required to use basic math in all of your daily activities. As field - based employees who work onsite at our client's offices; relationship building and growth is another crucial function of the position. Acclimating to our client's environment and learning about their primary goals and objectives is essential, and ensures a successful partnership. Responsibilities 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 partnership. We offer the latest tools along with the most intensive training program in the industry and nearly limitless opportunities for advancement. This position also offers quarterly incentives based on performanc

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, 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 receivable 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.

Required Qualifications:
  • High School Diploma / GED (or higher)
  • Intermediate level of proficiency with Microsoft Excel (sorting, summing, creating bar graphs, and formulas)
  • 3+ years of experience in claims recovery and resolution or an operations based environment
  • 2+ years or account management or customer service experience
  • 2+ years of healthcare finance experience with a focus on auditing and / or analysis
  • Must reside in Kansas City, Missouri
  • 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

Telecommuting Requirements:
  • 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)

Preferred Qualifications:
  • Bachelor's Degree (or higher)
  • Previous experience working in a client facing role and / or working onsite at a client site
  • Previous leadership experience
  • Basic proficiency in math and thinking analytically

Soft Skills:
  • 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

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So, when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work. SM

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether 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 journey. Learn 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 possible. https://uhg.hr/vet

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: Optum, UHG, Credit Balance, Recovery, Resolution, Kansas, Missouri, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

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