Senior Recovery Resolution Representative

Overview

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. This onsite position is located at 12 Cadillac Drive, Suite 300 Brentwood, TN 37027.

Join us to start Caring. Connecting. Growing together.

Position type
:
This is a full-time onsite role working Monday – Friday with 8-hour shift schedules during normal business hours of 7:55 AM – 4:25 PM. Occasional overtime may be necessary based on business needs.

Training
:
We offer 4 weeks of on-the-job training. The hours will align with your schedule.

• Take inbound calls from providers and/or make outbound calls to providers to discuss and resolve outstanding over payments (95% of your day can be on phones)
• 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
• 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 professionally with the provider to ensure PRS is meeting the needs and expectations of the client; build rapport with provider contacts to ensure timely recoveries
• Escalate recovery efforts through many avenues to progress and resolve the situations
• Analyze, identify trends, and provide inventory and/or client updates as necessary
• Must meet state and federal compliance policies, reimbursement policies, and contract compliance
• Work independently while acting as a resource and mentor for others
• Perform other duties as assigned

• High School Diploma OR GED
• Must be 18 years of age OR older
• 1+ years of healthcare customer service experience
• 1+ years of customer service with analyzing and solving customer problems
• 1+ years of claims or collections experience
• Call center experience
• Proficiency with computer and Windows PC applications (ability to create, copy, send and save spreadsheets in Microsoft Excel)
• Ability to work onsite at 12 Cadillac Drive, Suite 300 Brentwood, TN 37027
• Ability to work our normal business hours of 7:55 AM - 4:25 PM, Monday - Friday. It may be necessary, given the business need, to work occasional overtime or weekends

• Provider over payment recovery experience or debt collection
• Professional billing experience
• Experience with negotiations and direct client interactions
• Work experience within the community giving back or volunteering time and resources
• Reside within 30 miles of 12 Cadillac Drive, Suite 300 Brentwood, TN 37027

• Ability to work in a dynamic environment both independently and in a group setting
• Strong communication and customer service skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to salary, benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (benefits subject to eligibility). The hourly pay range for this role is $20.38 - $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Note:

This section contains company-wide statements on mission and equal opportunity. See below for Equal Employment Opportunity and drug-free workplace statements.

At United Health Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and delivering equitable care that addresses health disparities. United Health Group is an Equal Employment Opportunity employer; qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

United Health Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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