Senior Recovery Resolution Representative - Phoenix, AZ

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.



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.



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

• 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 or GED

• 1
  year of Customer Service or Claims or Collections experience (prefer in a
  face to face setting and healthcare industry)

• Experience
  working in at least one or more in the healthcare industry: billing or recovery

• Proficiency
  with computer and Windows PC applications; Word, Excel, Outlook

• Travel 25% of the time; training in Tennessee for 3 straight weeks
  

• Experience
  in analyzing data and creating action plans based on that data, utilizing
  strong problem solving skills

• Experience
  working high stress goals within timelines and manage time effectively

Assets:

• Experience working with subrogation
• Experience with negotiations

Soft Skills:

• Strong Communication both written and verbal presentation
  experience 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 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.