Senior Recovery/Resolutions Representative - Baltimore, MD

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.

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
  expertise claims 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 and identify trends and provides reports as necessary
• Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
• Self-motivated
• Proactive in job responsibilities
• 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.

• Bachelor's Degree
• 2+ years of claims or collections experience
• 1+ year of customer service experience analyzing and solving customer problems
• Experience working in the healthcare industry
• Must be willing to travel to different hospitals in the MD/VA/DC area

• Experience working in hospital systems

• 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

Diversity creates a
healthier atmosphere: All qualified applicants will receive
consideration for employment without regard to race, color, religion,
sex, age, national origin, protected veteran status, disability status,
sexual orientation, gender identity or expression, marital status,
genetic information, or any other characteristic protected by law. 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.