Associate Recovery Resolution Representative - National Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. 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 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of training. The hours during training will be 8:00 am to 5:00 pm CST, Monday - Friday

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

• Reviewing, researching, and resolving all types of accounts in a credit balance to bring final resolution for health plans, commercial clients and government entities
• Fundamental Execution -
• Plan, prioritize, organize and complete work to meet established production goals required by provider clients, as well as Optum goals, quotas and deadlines in a fast pace and ever changing environment
• Provide top quality by researching accounts fully, reviewing and adhering to payer, provider & Optum quality requirements.
• Client facing account management -
• Represent Optum & Optum’s core values
• Anticipates client needs and proactively identifies solutions, be accountable for improving business operations
• Inventory Management -
• Credit Balance follow up and resolution, ensuring required compliance account timeliness guidelines are met within 30/60/180 days. Follow up includes researching why inventory is outstanding and working with Optum management to ensure resolution.
• Manage multiple different inventory work queues and workflows, including multiple payer credit inventory, as well as credit correspondence inventory.
• 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
• Must be 18 years or older.
• Experience working in A/R, billing, or collections in healthcare or insurance industries
• Basic proficiency with PC and Windows
• Basic level of proficiency with Excel required (i.e. sorting, summing, creating bar graphs, formulas)
• Proficient in math (Formulating, representing, and solving problems)
• Ability to work 08:00 AM - 5:00 PM CST.
  
  

Preferred Qualification

• Previous experience working in a client facing role and/or working onsite at a client site
• 3+ years of experience in claims recovery and resolution or an operations-based environment
• Healthcare finance experience with a focus in auditing and/or analysis
  
  

Telecommuting Requirements

• 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.
  
  

Soft Skills

• Analytically and Strategic
• Communication and Customer Service skills
• Organizational/time management skills
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In 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.

Application Deadline: 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 UnitedHealth 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, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

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