Client Recovery Account Specialist - Fort Smith, AR

Position Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.

The On Site Regional Account Manager 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.

Primary Responsibilities:

• 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


• 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.


• 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.

This position will be in located onsite in Fort Smith, AR. The position will be onsite at the client office at CHS-Fort Smith corporate offices and will have a large volume of client interaction.

Requirements:

• High school diploma or GED


• Must be available to work core hours of 8am to 5pm Monday through Friday


• Must be available to potentially travel up to 10% of the year only if needed to cover another location


• 1+ year or more experience working within a healthcare/insurance setting. i.e in a providers office, billing office, doctor's office etc.


• 1+ year or more experience with medical insurance dealing with billing and/or health plans


• 1+year customer service analyzing and solving customer problems


• Intermediate level of proficiency with MS Excel creating spreadsheets, sorting, filtering, utilizing formulas and pivot tables


• 1+ year of experience working in a client facing role within an office setting and/or working on site at a client facility is required


• Must live within a commutable distance of Forth Smith Arkansas.

Assets:

• Knowledge of Claims Platforms (UNET, COSMOS, FACETS, OXFORD, Diamond and/or NICE


• Experience working with medical claims and/or adjustments


• Experience within a collector's role with 3rd party debt, delinquent accounts or collections from business and consumers


• Customer service within healthcare or call center environment is highly preferred

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 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.

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.