You might also like
in Easton, PA
Senior Recovery Resolution Representative - Easton, PA.
Hours | Full-time, Part-time |
---|---|
Location | Easton, PA Easton, Pennsylvania |
About this job
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
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.
Primary Responsibilities:
- Plan, prioritize, organize and
complete work to meet established production goals or quotas in a fast pace and
ever changing environment - Provide expertise in credit balance adjudication
by reviewing, researching, and resolving all types of accounts as well as
providing resolution outcomes for health plans, commercial customers and
government entities - Establish professional working
relationships to ensure operational efficiency - Anticipates customer needs and
proactively identifies solutions - Accounts receivable follow up and
resolution - Analyze and identify trends and
provide reporting as necessary - Ensure adherence to state and
federal compliance policies, reimbursement policies and contract compliance
Requirements
Requirements:
- High
School diploma/ GED - Working Hours 8:00am - 4:30pm Monday - Friday
- Ability to do basic math and think
analytically and strategically - Intermediate proficiency with PC and
Windows - Intermediate level of proficiency
with Excel
required (i.e. sorting, summing, creating bar graphs, formulas) - Ability to travel, 3 week training
program held in Tennessee and then up to 25% of the time (generally local, but
some overnight) required
Assets:
- Healthcare finance experience with a
focus in auditing and/ or analysis - Bachelor's Degree
- Previous leadership experience
- 2+ years of Account Management
experience - 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 - Previous work within the community giving back or volunteering time and resources
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.