Recovery Resolutions Analyst

Overview

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.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.

We offer 4- 6 weeks of on-the-job training. The hours of training will be aligned with your schedule.

• Investigation, recovery and resolution of all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
• Investigate and pursue recoveries and payables on subrogation claims and file management
• Process recovery on claims
• 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.

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of experience analyzing and solving customer problems
• 2+ years of claims or collections experience
• Intermediate level of Microsoft Excel (data entry, sorting/filtering, pivot tables)
• Ability to work full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime.

• Experience working with DRG claims
• Experience working in the health care industry
• Experience working with claims and/or recovery
• Experience using claims platforms such as UNET, Pulse, NICE, Facets, Diamond, etc.

• 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 United Health Group approved high-speed internet connection or leverage an existing high-speed internet service

All employees working remotely will be required to adhere to United Health Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives.

The salary for this role will range from $23.89 – $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Final date to receive applications: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At United Health 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,…