Medicare Recovery Resolutions Representative - Franklin, TN - Full-time / Part-time

Position Description:

Energize
your career with one of Healthcare's fastest growing companies.  

 

You
dream of a great career with a great company – where you can make an impact and
help people.  We dream of giving you the
opportunity to do just this.  And with
the incredible growth of our business, it's a dream that definitely can come
true. Already one of the world's leading Healthcare companies, UnitedHealth
Group is restlessly pursuing new ways to operate our service centers, improve
our service levels and help people lead healthier lives.  We live for the opportunity to make a
difference and right now, we are living it up.

 

This
opportunity is with one of our most exciting business areas: Optum –a growing
part of our family of companies that make UnitedHealth Group a Fortune 17 leader.

 

Optum helps nearly 60
million Americans live their lives to the fullest by educating them about their
symptoms, conditions and treatments; helping them to navigate the system,
finance their healthcare needs and stay on track with their health goals. No
other business touches so many lives in such a positive way. And we do it all
with every action focused on our shared values of Integrity, Compassion,
Relationships, Innovation & Performance.

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 Medicare
Recovery Resolution Representative handles information about patient
services and how those services are paid by investigating and pursuing
recoveries through contact with various parties.

Position will require research to verify member benefit coverage.

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, and contract compliance
• Perform other duties as assigned
• Extensive work experience, possibly in multiple functions.
• Works independently.
• Acts as a resource for others.

Requirements:

• High school diploma or GED
• 1+ years of customer service experience analyzing and solving customer problems
• Intermediate proficiency with Microsoft Excel and Microsoft Word
• Working Hours 7:00am - 7:00pm Monday - Friday
  

Assets:

• General knowledge of Medicare rule and guidelines
• Experience working within a call center environment
• 1+ years experience working in healthcare industry
  

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

At Optum, you will perform within an innovative culture that's focused on transformational change in the Healthcare system. You will leverage your skills across a diverse and multifaceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.


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.