Senior Recovery Resolution Representative - Phoenix, AZ

UnitedHealth Group is working to create the health
care system of tomorrow.



Already Fortune 17, we are totally focused on innovation and change. We work a
little harder. We aim a little higher. We expect more from ourselves and each
other. And at the end of the day, we're doing a lot of good.



Through our family of businesses and a lot of inspired individuals, we're
building a high-performance health care system that works better for more
people in more ways than ever. Now we're looking to reinforce our team with
people who are decisive, brilliant - and built for speed.



Come to UnitedHealth Group, and share your ideas and your passion for doing
more. We have roles that will fit your skills and knowledge. We have diverse
opportunities that will fit your dreams.

The Senior Recovery/Resolution Representative handles
information about patient services and how those services are paid by
investigating and pursuing recoveries through contact with various parties. The
representative manages subrogation files, negotiates settlements, and ensures
adherence to compliance policies.

Positions in this function are responsible for
investigating, recovering and resolving all types of claims as well as recovery
and resolution for health plans, commercial customers and government entities.
May include initiating telephone calls to members, providers and other
insurance companies to gather coordination of benefits data. 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. May conduct
contestable investigations to review medical history. May monitor large claims
including transplant cases.

• 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
• Manage subrogation files
• Perform other duties as assigned
• Extensive work experience, possibly in multiple functions
• Work does not usually require established procedures
• Works independently
• Mentors others
• Acts as a resource for others
• Coordinates others' activities.
  
  

Requirements:

• High School Diploma/ GED or 10 years working experience
• Hours of  7am – 4pm
  Monday – Friday, you will work a 40hr work week within those hours
• 1+ years of claims or collections experience
• Experience working in at least one of these healthcare areas: billing/coding/recovery/collection.
• Proficiency with computer and Windows PC applications;
  Word, Excel, Outlook
• Travel 25% of the time; training is 3 weeks in Tennessee

Assets:

• Strong Communication both written and verbal presentation
  experience
• Experience
  working with subrogation
• Experience with
  negotiations

Physical
Requirements and Work Environment:

• Frequent
  speaking, listening using a headset, sitting, use of hands/fingers across
  keyboard or mouse, handling other objects, long periods working at a computer
• Service center
  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 health care 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.

Diversity creates a healthier atmosphere: All qualified applicants will receive
consideration for employment without regard to race, color, religion, sex,
national origin, protected veteran status, or disability status.



UnitedHealth Group is a drug-free workplace. Candidates are required to pass a
drug test before beginning employment. In addition, employees in certain
positions are subject to random drug testing.